Individual
LEWIS B KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2081 S MAIN ST, MILAN, TN 38358-3011
(731) 686-8642
(731) 686-7622
Mailing address
PO BOX 548, MILAN, TN 38358-0548
(731) 686-8642
(731) 686-7622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT762
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3594690
—
TN
05
—
3726103
—
TN
Enumeration date
04/10/2006
Last updated
08/09/2023
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