Organization
COMPLETE EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. BONNER M.D. (PRESIDENT)
(423) 332-8222
Entity
Organization
Contact information
Practice address
9453 DAYTON PIKE, SODDY DAISY, TN 37379-4751
(423) 332-8222
(423) 332-8278
Mailing address
9453 DAYTON PIKE, SODDY DAISY, TN 37379-4751
(423) 332-8222
(423) 332-8278
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000028919
TN
332H00000X
Eyewear Supplier
28919
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3375048
—
TN
Enumeration date
05/23/2007
Last updated
01/20/2015
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