Organization
MEMPHIS FAMILY VISION PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD EISENSTATT O.D. (OWNER)
(901) 767-7080
Entity
Organization
Contact information
Practice address
857 MOUNT MORIAH RD, MEMPHIS, TN 38117-5704
(901) 767-7080
(901) 767-2020
Mailing address
857 MOUNT MORIAH RD, MEMPHIS, TN 38117-5704
(901) 767-7080
(901) 767-2020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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