Organization
COLLIERVILLE VISION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON W WALLEY OD (OD/PRESIDENT)
(901) 853-8180
Entity
Organization
Contact information
Practice address
358 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3743
(901) 853-8180
(901) 853-1421
Mailing address
358 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3743
(901) 853-8180
(901) 853-1421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TN
Other
Enumeration date
11/06/2014
Last updated
04/10/2015
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