Organization
PREMIER EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT B FRY O.D. (OWNER)
(865) 966-0100
Entity
Organization
Contact information
Practice address
11121 KINGSTON PIKE, SUITE A, KNOXVILLE, TN 37934-2890
(865) 966-0100
(865) 966-0007
Mailing address
11121 KINGSTON PIKE, SUITE A, KNOXVILLE, TN 37934-2890
(865) 966-0100
(865) 966-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TNOD1904
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3945177
—
TN
Enumeration date
06/15/2007
Last updated
08/24/2007
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