Organization
PROFESSIONAL EYECARE OPTICAL
Active
Other names
Eyewear Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN S JOHNSON O.D. (OWNER)
(901) 763-2020
Entity
Organization
Contact information
Practice address
428 PERKINS EXT, MEMPHIS, TN 38117-3802
(901) 763-2020
(901) 763-2219
Mailing address
428 PERKINS EXT, MEMPHIS, TN 38117-3802
(901) 763-2020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ODT968
TN
Other
Enumeration date
07/19/2007
Last updated
08/02/2018
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