Organization
AMANDA SMITH OPTOMETRY, PLLC
Active
Other names
Envision Eyecare and Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA GORDON (BILLING MANAGER)
(931) 762-7226
Entity
Organization
Contact information
Practice address
726 N LOCUST AVE STE 2D, LAWRENCEBURG, TN 38464-2874
(931) 762-7226
(931) 762-1133
Mailing address
726 N LOCUST AVE STE 2D, LAWRENCEBURG, TN 38464-2874
(931) 762-7226
(931) 762-1133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q058467
—
TN
Enumeration date
07/14/2020
Last updated
05/06/2021
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