Organization
MYEYEDR OPTOMETRY OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ANN DOWNES (CREDENTIALING MANAGER)
(785) 492-5871
Entity
Organization
Contact information
Practice address
1917 N MOUNT JULIET RD STE 103, MT JULIET, TN 37122-4688
(615) 523-2487
(615) 523-2487
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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