Organization
SULLINS EYE CARE P.C.
Active
Other names
Sullins Eye Care P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA H. SULLINS OD (OPTOMETRIST)
(423) 442-2806
Entity
Organization
Contact information
Practice address
620 ENGLEWOOD RD, MADISONVILLE, TN 37354-1218
(423) 442-2806
Mailing address
PO BOX 247, MADISONVILLE, TN 37354-0247
(423) 442-2806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001689
TN
152W00000X
Optometrist
OD0000001722
TN
152W00000X
Optometrist
OD0000001899
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3590906
MEDICARE
TN
Enumeration date
12/21/2006
Last updated
10/31/2007
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