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Individual

DR. TONYA MICHELLE REYNOLDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
215 HOLLY LN, RIVER VALLEY EYE CLINIC P.C, WAVERLY, TN 37185-0493
(931) 296-1990
(931) 296-1899
Mailing address
215 HOLLY LN, RIVER VALLEY EYE CLINIC P.C, WAVERLY, TN 37185-0493
(931) 296-1990
(931) 296-1899

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000002255
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01038894
AMERIGROUP
TN
01
200721045
BOILERMAKERS
TN
05
3719356
TN
01
4063366
BLUE CROSS BLUE SHIELD
TN
01
7536377
AETNA
TN
01
TN0255
VISION BENEFITS OF AMERIC
TN
01
TN2255
EYEMED
TN
Enumeration date
08/18/2005
Last updated
08/27/2020
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