Organization
PROFESSIONAL OPTICIANS
Active
Organization
PROFESSIONAL OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDIE CECIL FROST LDO (OWNER)
(423) 894-1947
Entity
Organization
Contact information
Practice address
5726 MARLIN RD, STE 102, CHATTANOOGA, TN 37411-4008
(423) 894-1947
Mailing address
5726 MARLIN RD, STE 102, CHATTANOOGA, TN 37411-4008
(423) 894-1947
(423) 894-1947
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DPO218
TN
Other
Enumeration date
03/10/2008
Last updated
08/27/2008
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