Organization
DANA A. GRIST, O.D.
Active
Other names
Family Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA ALAN GRIST O.D. (OWNER)
(423) 928-1010
Entity
Organization
Contact information
Practice address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Mailing address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT 675
TN
Other
Enumeration date
02/13/2008
Last updated
12/03/2008
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