Organization
MEDINA EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MICHELLE HARRISON O.D. (OPTOMETRIST)
(731) 584-7942
Entity
Organization
Contact information
Practice address
615 HWY 45 SOUTH, MEDINA, TN 38355-0479
(731) 584-7942
(731) 584-7965
Mailing address
P O BOX 865, CAMDEN, TN 38320-1329
(731) 584-7942
(731) 584-7965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1677
TN
Other
Enumeration date
06/13/2013
Last updated
08/27/2020
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