Individual
DR. DANNY W CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18730 ALBERTA ST, ONEIDA, TN 37841-2128
(423) 569-6822
(423) 569-6823
Mailing address
PO BOX 4509, ONEIDA, TN 37841-4509
(423) 569-6822
(423) 569-6823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
717OD
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I416993
MEDICARE PTAN
—
05
—
3594379
—
TN
Enumeration date
12/14/2006
Last updated
04/06/2015
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