Organization
EYEAR OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY C HENDERSON LDO (OWNER)
(423) 877-9990
Entity
Organization
Contact information
Practice address
104 BATTLECREEK RD, SOUTH PITTSBURG, TN 37380-6308
(423) 837-5334
(423) 837-5334
Mailing address
104 BATTLECREEK RD, SOUTH PITTSBURG, TN 37380-6308
(423) 837-5334
(423) 837-5334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
144
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4097412
—
TN
Enumeration date
07/11/2006
Last updated
07/08/2008
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