Organization
MT JULIET FAMILY VISION PC
Active
Other names
MT JULIET FAMILY VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL DAVIS OD (OWNER)
(615) 415-0102
Entity
Organization
Contact information
Practice address
1005 CHARLIE DANIELS PARKWAY, MT JULIET, TN 37122-3391
(615) 758-2501
(615) 758-2524
Mailing address
1005 CHARLIE DANIELS PKWY, MT JULIET, TN 37122-3391
(615) 758-2501
(615) 758-2524
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3286
TN BOARD OF OPTOMETRY
TN
Enumeration date
12/17/2018
Last updated
04/01/2021
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