Individual
DR. ZACHARY PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
321 E ELK AVE, ELIZABETHTON, TN 37643-3221
(423) 542-2512
(423) 542-0477
Mailing address
321 E ELK AVE, ELIZABETHTON, TN 37643-3221
(423) 542-2512
(423) 542-0477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2498
OK
152W00000X
Optometrist
Primary
2692
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4157039
BLUE CROSS BLUE SHIELD TN
TN
01
—
P00914239
MEDICARE RAILROAD
TN
Enumeration date
08/04/2006
Last updated
02/08/2012
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