Individual
DR. BRENT B FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11111 KINGSTON PIKE, KNOXVILLE, TN 37934-2807
(865) 966-0100
(865) 966-0007
Mailing address
11111 KINGSTON PIKE, KNOXVILLE, TN 37934-2807
(865) 966-0100
(865) 966-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TNOD1904
TN
152WC0802X
Corneal and Contact Management Optometrist
1904
TN
152WP0200X
Pediatric Optometrist
1904
TN
152WX0102X
Occupational Vision Optometrist
1904
TN
Other
Enumeration date
06/10/2005
Last updated
05/07/2025
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