Organization
RICE MOBILE OD TN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A RICE (OWNER)
(502) 244-2441
Entity
Organization
Contact information
Practice address
304 ORCHARD DR, SOUTH FULTON, TN 38257-2456
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
662
OH
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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