Organization
MILLS OPTOMETRIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI KRESS (OFFICE MANAGER)
(423) 542-2512
Entity
Organization
Contact information
Practice address
321 E ELK AVE, ELIZABETHTON, TN 37643-3221
(423) 542-2512
(423) 542-0477
Mailing address
321 E ELK AVE, ELIZABETHTON, TN 37643-3221
(423) 542-2512
(423) 542-0477
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
0710
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3594342
—
TN
01
—
CK6149
RAILROAD MEDICARE
—
Enumeration date
03/14/2007
Last updated
04/15/2013
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