Individual
MARISSA BUINICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
CORNER OF LAMONT AND VETERANS WAY, EYE CLINIC 112E, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011645
IL
Other
Enumeration date
07/27/2022
Last updated
08/02/2024
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