Organization
ST FRANCIS OPTICAL DISPENSARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS DANIEL PAGANO SR. OPTICIAN (PARTNER)
(901) 761-2390
Entity
Organization
Contact information
Practice address
6005 PARK AVE, MEMPHIS, TN 38119-5202
(901) 761-2390
Mailing address
6005 PARK AVE, ST FRANCIS OPTICAL DISPENSARY, MEMPHIS, TN 38119-5202
(901) 761-2390
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
294
TN
Other
Enumeration date
02/14/2008
Last updated
03/18/2008
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