Individual
DR. BLAKE S RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
11124 KINGSTON PIKE, SUITE 127, KNOXVILLE, TN 37934-2863
(865) 966-2020
(865) 966-7332
Mailing address
11124 KINGSTON PIKE, SUITE 127, KNOXVILLE, TN 37934-2863
(865) 966-2020
(865) 966-7332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2981
TN
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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