Organization
FIVE RIVERS EYECARE PLLC
Active
Other names
Newport Eyecare Center PLLC, Yandell Eyecare Center, PLLC, Greenville Eyecare Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES YANDELL OD (OD/OWNER)
(423) 623-2020
Entity
Organization
Contact information
Practice address
1411 W MORRIS BLVD, MORRISTOWN, TN 37813-2828
(423) 587-3474
Mailing address
115 HEDRICK DRIVE, NEWPORT, TN 37821
(423) 623-2020
(423) 623-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3137807
BLUECROSS BLUESHIELD
TN
05
—
3137807
—
TN
01
—
P00332301
MEDICARE RAILROAD
TN
Enumeration date
11/19/2012
Last updated
12/20/2021
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