Organization
ALVIN E. WILLINGHAM, INC
Active
Other names
VISION MASTERS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN E WILLINGHAM O.D. (PRESIDENT)
(423) 870-3937
Entity
Organization
Contact information
Practice address
5211 HIGHWAY 153, SUITE A, HIXSON, TN 37343-4956
(423) 870-3937
(423) 870-8705
Mailing address
5211 HIGHWAY 153, SUITE A, HIXSON, TN 37343-4956
(423) 870-3937
(423) 870-8705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1107
TN
332H00000X
Eyewear Supplier
OD1107
TN
Other
Enumeration date
05/06/2008
Last updated
01/11/2012
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