Individual
AMY H VINOGRADOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
334 HIGHWAY 92 S STE 7, DANDRIDGE, TN 37725-4578
(865) 397-9991
(865) 940-1401
Mailing address
334 HIGHWAY 92 S STE 7, DANDRIDGE, TN 37725-4578
(865) 397-9991
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3537
TN
152W00000X
Optometrist
T-236-TA-B19
AL
Other
Enumeration date
06/01/2018
Last updated
01/07/2022
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