Organization
THE OPTICAL SHOPPE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DOUGLAS TRAPENI JR. OD (OWNER)
(615) 459-0675
Entity
Organization
Contact information
Practice address
23 N LOWRY ST, SMYRNA, TN 37167-2525
(615) 459-0675
(615) 459-6401
Mailing address
23 N LOWRY ST, SMYRNA, TN 37167-2525
(615) 459-0675
(615) 459-6401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071007
—
TN
Enumeration date
05/03/2013
Last updated
05/03/2013
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