Organization
NURSING HOME EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD PEACE (OWNER)
(615) 598-0142
Entity
Organization
Contact information
Practice address
1130 HIGHWAY 96 N, FAIRVIEW, TN 37062-2804
(615) 734-9771
(615) 799-6010
Mailing address
1130 HIGHWAY 96 N, FAIRVIEW, TN 37062-2804
(615) 734-9771
(615) 799-6010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2531
TN
Other
Enumeration date
11/15/2006
Last updated
12/20/2007
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