Organization
OPTOMETRIC PRACTICE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LEACH MBA (MANAGER)
(423) 566-2250
Entity
Organization
Contact information
Practice address
19740 ALBERTA ST, ONEIDA, TN 37841-3305
(423) 569-3937
(423) 569-6817
Mailing address
3280 DOUGLAS DAM RD, KODAK, TN 37764-2308
(931) 676-7686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD579
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558400887
DR. BENNY MCDANIEL - NPI NUMBER
TN
Enumeration date
03/02/2009
Last updated
04/22/2009
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