Organization
EYECARE REVOLUTION LLC
Active
Other names
Lifetime Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NANCE O.D. (MANAGING MEMBER)
(615) 771-4006
Entity
Organization
Contact information
Practice address
3070 MALLORY LN, FRANKLIN, TN 37067-8304
(615) 771-4006
Mailing address
3070 MALLORY LN, FRANKLIN, TN 37067-8304
(615) 771-4006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2819
TN
152W00000X
Optometrist
Primary
2871
TN
Other
Enumeration date
04/01/2010
Last updated
01/23/2014
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