Organization
PATRICK D. SHORTER
Active
Other names
Jonesborough Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK SHORTER O.D. (OWNER)
(423) 753-7760
Entity
Organization
Contact information
Practice address
805 E JACKSON BLVD, JONESBOROUGH, TN 37659-1540
(423) 753-7760
(423) 753-7466
Mailing address
805 E JACKSON BLVD, JONESBOROUGH, TN 37659-1540
(423) 753-7760
(423) 753-7466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3733327
—
TN
Enumeration date
03/07/2007
Last updated
03/06/2008
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