Organization
HENDERSON FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN NICOLE JOHNSON O.D. (OWNER)
(731) 435-1275
Entity
Organization
Contact information
Practice address
401 E MAIN ST, HENDERSON, TN 38340-2439
(731) 435-1275
(731) 435-1276
Mailing address
401 E MAIN ST, HENDERSON, TN 38340-2439
(731) 435-1275
(731) 435-1276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513685
—
TN
Enumeration date
08/26/2014
Last updated
08/26/2014
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