Organization
RJR PROPERTIES, PLLC
Active
Other names
Erwin Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL JOSEPH RABON OD (OPTOMETRIST)
(423) 943-8656
Entity
Organization
Contact information
Practice address
510 N MAIN AVE STE 2, ERWIN, TN 37650-1393
(423) 943-8656
Mailing address
1061 ALLISON RD, PINEY FLATS, TN 37686-4023
(423) 943-8656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019369
—
TN
Enumeration date
04/25/2019
Last updated
04/25/2019
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