Organization
MVP EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANA BOUSHEHRI O.D. (OPTOMETRIST)
(417) 337-3313
Entity
Organization
Contact information
Practice address
2431 N GERMANTOWN PKWY, CORDOVA, TN 38016-4494
(901) 214-0014
Mailing address
2431 N GERMANTOWN PKWY, CORDOVA, TN 38016-4494
(901) 214-0014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3135
TN
Other
Enumeration date
07/16/2018
Last updated
10/08/2018
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