Organization
POMERANCE EYE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN N POMERANCE MD (OWNER)
(423) 855-6800
Entity
Organization
Contact information
Practice address
1801 GUNBARREL RD, CHATTANOOGA, TN 37421-3130
(423) 855-6800
(423) 855-1108
Mailing address
1801 GUNBARREL RD, CHATTANOOGA, TN 37421-3130
(423) 855-6800
(423) 855-1108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0393990001
SUPPLER NUMBER
TN
05
—
3709593
—
TN
Enumeration date
08/11/2006
Last updated
06/27/2023
Update your record
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