Organization
COLLIERVILLE EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MORMON OD (MEMBER)
(901) 219-5040
Entity
Organization
Contact information
Practice address
472 W POPLAR AVE, COLLIERVILLE, TN 38017-2538
(901) 219-5040
Mailing address
472 W POPLAR AVE, COLLIERVILLE, TN 38017-2538
(901) 219-5040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2254
TN
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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