Organization
MILAN EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL R. MINTON O.D. (OPTOMETRIST)
(731) 686-1647
Entity
Organization
Contact information
Practice address
6032 TELECOM DR, MILAN, TN 38358-3447
(731) 686-1647
(731) 686-1005
Mailing address
6032 TELECOM DR, MILAN, TN 38358-3447
(731) 686-1647
(731) 686-1005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1009
TN
152W00000X
Optometrist
1928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075622
BLUE CROSS BLUE SHIELD TN
TN
05
—
3370241
—
TN
01
—
4085708
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
09/24/2007
Last updated
02/21/2025
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