Organization
CUMBERLAND OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRICILLA A KIRK (OPTICIAN)
(931) 484-9548
Entity
Organization
Contact information
Practice address
33 W ADAMS ST, CROSSVILLE, TN 38555-4836
(931) 484-9548
Mailing address
33 W ADAMS ST, CROSSVILLE, TN 38555-4836
(931) 484-9548
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00116592
BCBS
TN
01
—
1421213
UMWA
TN
05
—
3560691
—
TN
Enumeration date
03/22/2007
Last updated
08/22/2020
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