Organization
GREENEVILLE VISION CENTER
Active
Other names
Greeneville Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALLEN YANDELL O.D (OWNER)
(423) 638-4151
Entity
Organization
Contact information
Practice address
204 EMORY RD, GREENEVILLE, TN 37745
(423) 638-4151
(423) 639-6861
Mailing address
PO BOX 425, GREENEVILLE, TN 37744-0425
(423) 638-4151
(423) 639-6861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100022785
PHP
TN
01
—
3137807
BLUECROSS BLUESHIELD
TN
05
—
3137807
—
TN
01
—
702006494
CARITEN HEALTHCARE
TN
01
—
P00332301
MEDICARE RAILROAD
TN
Enumeration date
12/10/2007
Last updated
07/16/2009
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