Organization
KEYLON EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID KEYLON OD (PRESIDENT)
(423) 745-8882
Entity
Organization
Contact information
Practice address
902 W MADISON AVE, ATHENS, TN 37303-3432
(423) 745-8882
(423) 744-8428
Mailing address
P.O BOX 826, ATHENS, TN 37371-0826
(423) 745-8882
(423) 744-8428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
503
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3724013
—
TN
Enumeration date
03/26/2007
Last updated
12/29/2008
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