Organization
PERFORMANCE EYECARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE ELAINE DEVINE OD (OPTOMETRIST)
(865) 988-9787
Entity
Organization
Contact information
Practice address
501 ADESA BLVD., SUITE B-200, LENOIR CITY, TN 37771
(865) 988-9787
(865) 988-3832
Mailing address
501 ADESA BLVD., SUITE B-200, LENOIR CITY, TN 37771
(865) 988-9787
(865) 988-3832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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