Individual
DR. MARCIE D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
145 INNOVATION DR, JACKSON, TN 38305-3019
(731) 422-0213
(731) 660-8368
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3052
TN
Other
Enumeration date
07/24/2012
Last updated
10/25/2023
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