Organization
DODDS EYECARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON DODDS O.D. (OWNER)
(731) 627-1100
Entity
Organization
Contact information
Practice address
631 W MAIN ST, NEWBERN, TN 38059-1438
(731) 627-1100
Mailing address
631 W MAIN ST, NEWBERN, TN 38059-1438
(731) 627-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2268
TN
332H00000X
Eyewear Supplier
2268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G704082
MEDICARE PIN
—
Enumeration date
02/22/2008
Last updated
12/03/2013
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