Organization
KEITH E. WHALEY O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY G SEATON (INSURANCE SPECIALIST)
(865) 428-0959
Entity
Organization
Contact information
Practice address
2541 SAND PIKE BLVD, PIGEON FORGE, TN 37863-6205
(865) 428-0959
Mailing address
2541 SAND PIKE BLVD, PIGEON FORGE, TN 37863-6205
(865) 428-0959
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OD1729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3041669
BCBS
TN
05
—
3940567
—
TN
Enumeration date
07/28/2008
Last updated
01/22/2009
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