Organization
EYE CENTERS OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA D BREEDING JR. (FRONT OFFICE CREDENTIALS)
(931) 456-2728
Entity
Organization
Contact information
Practice address
802 W MAIN ST, LIVINGSTON, TN 38570-1722
(931) 400-5154
(931) 400-5155
Mailing address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
03/19/2007
Last updated
12/13/2021
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