Individual
DR. STEVEN D. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6719 MAYNARDVILLE PIKE, KNOXVILLE, TN 37918-5348
(865) 922-3937
(865) 922-8412
Mailing address
6719 MAYNARDVILLE PIKE, KNOXVILLE, TN 37918-5348
(865) 922-3937
(865) 922-8412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T-OD-2347
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3945379
—
TN
01
—
4595260001
PTAN FOR ELLIOTT EYECARE CENTER
TN
01
—
4595260002
PTAN FOR FOUNTAIN CITY EYECARE
TN
Enumeration date
12/05/2006
Last updated
03/17/2018
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