Organization
ANDREW R. SCHWICHTENBERG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R. SCHWICHTENBERG O.D. (OWNER)
(423) 283-4590
Entity
Organization
Contact information
Practice address
2829 E OAKLAND AVE STE 1, JOHNSON CITY, TN 37601-1908
(423) 283-4590
(423) 283-0867
Mailing address
2829 E OAKLAND AVE STE 1, JOHNSON CITY, TN 37601-1908
(423) 283-4590
(423) 283-0867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3597385
—
TN
Enumeration date
08/06/2007
Last updated
07/29/2013
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