Organization
DONALD P WRIGHT & A PETER BUKEAVICH PTRS
Active
Organization
DONALD P WRIGHT & A PETER BUKEAVICH PTRS
Active
Other names
WRIGHT & BUKEAVICH O D
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE KILLEBREW (INSURANCE SPECIALIST)
(731) 587-2020
Entity
Organization
Contact information
Practice address
145 KENNEDY DR STE A, MARTIN, TN 38237-3341
(731) 587-2020
(731) 587-4015
Mailing address
145 KENNEDY DR STE A, MARTIN, TN 38237-3341
(731) 587-2020
(731) 587-4015
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
OD 1138 T
TN
332H00000X
Eyewear Supplier
Primary
OD 509 T
TN
Other
Enumeration date
07/30/2009
Last updated
04/21/2023
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