Organization
GREENEVILLE EYE CLINIC OPTICAL SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JACKSON SMEAD MD (PARTNER)
(423) 639-6454
Entity
Organization
Contact information
Practice address
801 E CHURCH ST, GREENEVILLE, TN 37745-6219
(423) 639-6454
(423) 787-7210
Mailing address
801 E CHURCH ST, GREENEVILLE, TN 37745-6219
(423) 639-6454
(423) 787-7210
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134083
BCBS PROVIDER #
TN
Enumeration date
04/06/2007
Last updated
08/22/2020
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