Organization
KNOXVILLE EYE SURGERY CENTER, LLC
Active
Parent organization
KNOXVILLE EYE SURGERY CENTER, LLC
Other names
Tennessee Valley Optical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KNOXVILLE EYE SURGERY CENTER, LLC
Authorized official
MR. LARRY R RAUEN (CHIEF MANAGER)
(865) 544-6912
Entity
Organization
Contact information
Practice address
140 CAPITOL DR, KNOXVILLE, TN 37922-3343
(865) 251-0340
(865) 251-0330
Mailing address
140 CAPITOL DR, KNOXVILLE, TN 37922-3343
(865) 251-0340
(865) 251-0330
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DPO980
TN
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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