Individual
DR. JEFFREY S SILBERNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10745 KINGSTON PIKE, KNOXVILLE, TN 37934-3002
(865) 288-3235
(865) 288-7714
Mailing address
445 W BLOUNT AVE, SUITE 109, KNOXVILLE, TN 37920-1106
(504) 616-4780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1057-264T
LA
152W00000X
Optometrist
Primary
1340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1931870
—
LA
01
—
3371152
MEDICARE
TN
05
—
Q008339
—
TN
05
—
Q020782
—
TN
Enumeration date
06/07/2006
Last updated
10/04/2019
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