Organization
EYES ON DIABETES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS LUMPKIN O.D. (MEDICAL DIRECTOR)
(731) 676-2028
Entity
Organization
Contact information
Practice address
215 HOLLY LN, #A, WAVERLY, TN 37185-3387
(931) 296-1990
(931) 296-1889
Mailing address
215 HOLLY LN, #A, WAVERLY, TN 37185-3387
(931) 296-1990
(931) 296-1889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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