Organization
DONELSON OPTICAL
Active
Organization
DONELSON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN R REARDON (OWNER)
(615) 889-0433
Entity
Organization
Contact information
Practice address
2211 JACKSON DOWNS BLVD, NASHVILLE, TN 37214-2387
(615) 889-0433
Mailing address
2211 JACKSON DOWNS BLVD, NASHVILLE, TN 37214-2387
(615) 889-0433
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
414
TN
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
Update your record
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