Organization
CLARKSVILLE EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW THEODORE DREW O.D. (MEMBER)
(931) 645-0346
Entity
Organization
Contact information
Practice address
1111A FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042
(931) 645-0346
(931) 645-0348
Mailing address
1111A FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-6426
(931) 645-0346
(931) 645-0348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2519
TN
Other
Enumeration date
06/14/2007
Last updated
04/15/2019
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