Individual
TARA PIGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2554 HIGHWAY 394, BLOUNTVILLE, TN 37617
(423) 323-3799
(423) 323-3752
Mailing address
2554 HIGHWAY 394, BLOUNTVILLE, TN 37617
(423) 323-3799
(423) 323-3752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1922
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009234101
—
VA
05
—
009234110
—
VA
05
—
3941997
—
TN
Enumeration date
11/13/2006
Last updated
08/30/2021
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