Organization
HALLS VISION CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY STEVEN LOUTHAN O.D. (OWNER)
(865) 922-7765
Entity
Organization
Contact information
Practice address
4626 MILL BRANCH LANE, KNOXVILLE, TN 37938-3200
(865) 922-7765
(865) 922-7766
Mailing address
4626 MILL BRANCH LANE, KNOXVILLE, TN 37938-3200
(865) 922-7765
(865) 922-7766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1575
TN
Other
Enumeration date
08/18/2006
Last updated
08/26/2013
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