Organization
TENNESSEE PHYSICIANS EYECARE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 612-4531
Entity
Organization
Contact information
Practice address
7811 KINGSTON PIKE, KNOXVILLE, TN 37919-5521
(865) 470-7775
(865) 470-7228
Mailing address
3801 S CONGRESS AVE, PALM SPRINGS, FL 33461-4140
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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