Organization
MARK A. BOWERS
Active
Other names
Blountville Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY K SHARPE (OFFICE MANAGER)
(423) 323-3799
Entity
Organization
Contact information
Practice address
2554 HIGHWAY 394, BLOUNTVILLE, TN 37617
(423) 323-3799
(423) 323-3752
Mailing address
2554 HIGHWAY 394, BLOUNTVILLE, TN 37617-4133
(423) 323-3799
(423) 323-3752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4087308
BLUE CROSS PROVIDER NUMBER
TN
Enumeration date
08/01/2017
Last updated
07/21/2022
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