Individual
LANCE ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 E MAIN ST, ROGERSVILLE, TN 37857-3348
(423) 272-2020
(423) 272-5886
Mailing address
8220 LOUETTA RD, STE 112, SPRING, TX 77379-7021
(281) 370-2020
(281) 251-2705
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
8351T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002159
VIRGINIA STATE LICENSE
VA
Enumeration date
07/02/2012
Last updated
05/04/2017
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