Organization
TULLAHOMA VISION ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHAWN MCBRIDE O.D. (PRESIDENT)
(931) 455-0654
Entity
Organization
Contact information
Practice address
105 W BLACKWELL ST, TULLAHOMA, TN 37388-3555
(931) 455-0654
(931) 455-0669
Mailing address
105 W BLACKWELL ST, TULLAHOMA, TN 37388-3555
(931) 455-0654
(931) 455-0669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
03/20/2009
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