Organization
SIMONTON EYE CARE CLINIC
Active
Organization
SIMONTON EYE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA L BREEDEN (OPTOMETRIC ASSISTANT)
(615) 672-4683
Entity
Organization
Contact information
Practice address
2823 HIGHWAY 31 W # SOUTH, WHITE HOUSE, TN 37188-5241
(615) 672-4683
(615) 672-4643
Mailing address
2823 HIGHWAY 31 W # SOUTH, WHITE HOUSE, TN 37188-5241
(615) 672-4683
(615) 672-4643
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
TN0759
TN
Other
Enumeration date
02/16/2009
Last updated
10/20/2015
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