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Organization

LEBANON EYE ASSOCIATES PC

Active
Other names
THE EYE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY A FRANKS (ADMINISTRATOR)
(615) 453-5155
Entity
Organization

Contact information

Practice address
1670 W MAIN ST, SUITE 100, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Mailing address
1670 W MAIN ST, SUITE 100, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16211
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1238610001
DMERC SUPPLIER-OPTHALMOLO
TN
05
3389788
TN
01
CL3416
PALMETTO-GBA MEDICARE
TN
Enumeration date
02/26/2007
Last updated
11/20/2007
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