Organization
GREATER REGIONAL EYE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MOORE OD (MANAGER)
(423) 636-7394
Entity
Organization
Contact information
Practice address
1410 TUSCULUM BLVD, GREENEVILLE, TN 37745-4286
(423) 636-7394
Mailing address
1410 TUSCULUM BLVD, GREENEVILLE, TN 37745-4286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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