Organization
WINCHESTER EYE CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MARLIN HICKS O.D. (OWNER)
(931) 967-2230
Entity
Organization
Contact information
Practice address
183 HOSPITAL RD, SUITE H, WINCHESTER, TN 37398-6207
(931) 967-2230
(931) 967-9622
Mailing address
183 HOSPITAL RD, SUITE H, WINCHESTER, TN 37398-2470
(931) 967-2230
(931) 967-9622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000000494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3722905
MEDICARE PROVIDER NUMBER
TN
05
—
3722905
—
TN
Enumeration date
07/18/2007
Last updated
11/28/2007
Update your record
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