Organization
SKYLINE EYE CLINIC, PC
Active
Other names
Eye Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND J KEE (ADMINISTRATOR/CEO)
(731) 424-2414
Entity
Organization
Contact information
Practice address
138 HOUSTON AVE, SELMER, TN 38375-2127
(731) 645-7255
Mailing address
138 HOUSTON AVE, SELMER, TN 38375-2127
(731) 645-7255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
457
TN
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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