Organization
RIVER VALLEY EYE CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY MARIE THOMPSON (OFFICE MANAGER)
(931) 296-1990
Entity
Organization
Contact information
Practice address
215 HOLLY LN, WAVERLY, TN 37185-1531
(931) 296-1990
(931) 296-1899
Mailing address
215 HOLLY LN, WAVERLY, TN 37185-3387
(931) 296-1990
(931) 296-1899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000002255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3719356
—
TN
Enumeration date
12/15/2006
Last updated
07/17/2009
Update your record
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