Organization
ULTRA EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA SUE HARBIN (OFFICE MANAGER)
(901) 458-4475
Entity
Organization
Contact information
Practice address
3460 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 458-9854
Mailing address
3460 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 458-9854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
09/25/2007
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