Organization
20/20 OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE A WILLIFORD D.PO. (MANAGER)
(423) 899-3930
Entity
Organization
Contact information
Practice address
7268 JARNIGAN RD, SUITE 304, CHATTANOOGA, TN 37421-3096
(423) 899-3930
(423) 899-1590
Mailing address
7268 JARNIGAN RD, SUITE 304, CHATTANOOGA, TN 37421-3096
(423) 899-3930
(423) 899-1590
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
TN0291
TN
Other
Enumeration date
06/12/2008
Last updated
12/18/2008
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