Organization
HARDIN VALLEY EYECARE AND OPTICAL
Active
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
Update your record
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