Organization
PRIMARY EYECARE GROUP OF COLUMBIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA G YOUNG O.D. (OWNER/OPTOMETRIST)
(931) 388-3604
Entity
Organization
Contact information
Practice address
1227 HATCHER LN, COLUMBIA, TN 38401-3531
(931) 388-3604
(931) 388-9515
Mailing address
1227 HATCHER LN, COLUMBIA, TN 38401-3531
(931) 388-3604
(931) 388-9515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 0000001656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4159214
BCBS
TN
Enumeration date
12/31/2007
Last updated
06/13/2013
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