Organization
KEITH B SPARKMAN
Active
Other names
Spring Creek Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH B SPARKMAN (OWNER)
(423) 855-8288
Entity
Organization
Contact information
Practice address
1013 SPRING CREEK RD, CHATTANOOGA, TN 37412-3971
(423) 855-8288
(423) 855-4527
Mailing address
1013 SPRING CREEK RD, CHATTANOOGA, TN 37412-3971
(423) 855-8288
(423) 855-4527
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240306
UNITED HEALTH
TN
01
—
3088639
BLUE CROSS BLUE SHIELD
TN
01
—
3599732
MEDICAID
TN
Enumeration date
06/28/2007
Last updated
01/06/2009
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