Organization
BRIGHT EYES FAMILY EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN LAWRENCE OD (OPTOMETRIC PHYSICIAN)
(423) 232-1428
Entity
Organization
Contact information
Practice address
3060 FRANKLIN TER, JOHNSON CITY, TN 37604-4123
(423) 232-1428
Mailing address
1500 RYAN RD, FALL BRANCH, TN 37656-3418
(423) 232-1428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3167
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558649491
INDIVIDUAL NPI
—
Enumeration date
12/15/2016
Last updated
01/12/2017
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