Organization
UNIVERSITY EYE SURGEONS, P.C.
Active
Organization
UNIVERSITY EYE SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY RAUEN (ADMINISTRATOR)
(865) 524-9871
Entity
Organization
Contact information
Practice address
1928 ALCOA HWY STE 324, KNOXVILLE, TN 37920-1505
(865) 524-9871
Mailing address
1928 ALCOA HWY STE 324, KNOXVILLE, TN 37920-1505
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0727320004
DMERC - UT
TN
Enumeration date
08/01/2006
Last updated
03/15/2013
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