Organization
K&M OPTICAL
Active
Other names
Visionary Eyeworks
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA PERRONE (CREDENTIALING MANAGER)
(931) 436-0555
Entity
Organization
Contact information
Practice address
73 WHITE BRIDGE RD STE 105, NASHVILLE, TN 37205-1444
(615) 353-0434
(615) 352-6080
Mailing address
73 WHITE BRIDGE RD STE 105, NASHVILLE, TN 37205-1444
(615) 353-0434
(615) 352-6080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033960
—
TN
Enumeration date
02/14/2018
Last updated
02/14/2018
Update your record
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