Organization
NORTH PARK EYE CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE A. GRAYSON (ADMINISTRATOR)
(423) 870-8000
Entity
Organization
Contact information
Practice address
5022 OLD GODSEY LANE, SUITE 7, HIXSON, TN 37343
(423) 870-8000
(423) 870-4044
Mailing address
5022 OLD GODSEY LANE, SUITE 7, HIXSON, TN 37343
(423) 870-8000
(423) 870-4044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/27/2005
Last updated
03/14/2011
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