Organization
EAST RIDGE EYE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHMOND (PRESIDENT)
(423) 894-1453
Entity
Organization
Contact information
Practice address
932 SPRING CREEK RD, CHATTANOOGA, TN 37412-3910
(423) 894-1453
Mailing address
932 SPRING CREEK RD, CHATTANOOGA, TN 37412-3910
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663970001
DMERC SUPPLIER NUMBER
—
Enumeration date
12/03/2008
Last updated
12/03/2008
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