Organization
SPECIALEYES INC
Active
Other names
Farragut Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA M DESAI O.D. (OWNER)
(865) 966-8255
Entity
Organization
Contact information
Practice address
11232 W POINT DR, SUITE A, KNOXVILLE, TN 37934-2872
(865) 966-8255
(865) 966-8257
Mailing address
11232 W POINT DR, SUITE A, KNOXVILLE, TN 37934-2872
(865) 966-8255
(865) 966-8257
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
ODT1971
TN
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODT2234
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723429
—
TN
Enumeration date
04/10/2008
Last updated
10/08/2010
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