Individual
ESTEL RAY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
473 FRONT ST, SPRING CITY, TN 37381-5198
(423) 365-4313
(423) 365-4413
Mailing address
3321 WARPATH DR, CROSSVILLE, TN 38572-6639
(931) 788-6498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1123
TN
Other
Enumeration date
12/19/2005
Last updated
11/04/2013
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