Organization
FAMILY EYE CARE OF CLARKSVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE HAZEN (OFFICE MANAGER)
(931) 648-0544
Entity
Organization
Contact information
Practice address
1492 MADISON ST, CLARKSVILLE, TN 37040-8625
(931) 648-0544
(931) 648-3625
Mailing address
1492 MADISON ST, CLARKSVILLE, TN 37040-8625
(931) 648-0544
(931) 648-3625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3599631
—
TN
Enumeration date
06/15/2007
Last updated
04/24/2014
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