Organization
HARDIN VALLEY EYECARE AND OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS LEE THOMPSON OD (OPTOMETRIST)
(865) 705-1586
Entity
Organization
Contact information
Practice address
10904 SPRING BLUFF WAY, KNOXVILLE, TN 37932-1793
(865) 246-1500
(865) 245-4522
Mailing address
10904 SPRING BLUFF WAY, KNOXVILLE, TN 37932-1793
(865) 246-1500
(865) 245-4522
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
3122
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G700318
MEDICARE PTAN
TN
05
—
Q006757
—
TN
Enumeration date
06/23/2014
Last updated
08/26/2014
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