Organization
UNIVERSITY EYE SURGEONS, P.C.
Active
Other names
Park West Optical Co.
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY G RAUEN (ADMINISTRATOR)
(865) 524-9871
Entity
Organization
Contact information
Practice address
9349 PARK WEST BLVD STE 104, KNOXVILLE, TN 37923-4326
(865) 690-0741
(865) 690-1218
Mailing address
1928 ALCOA HWY, STE 324, KNOXVILLE, TN 37920-1502
(865) 524-9871
(865) 305-6695
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
02/06/2013
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