Organization
ADVANCED EYECARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LAWRENCE JORDAN O.D. (OWNER)
(931) 359-4373
Entity
Organization
Contact information
Practice address
815 E COMMERCE ST, LEWISBURG, TN 37091-3515
(931) 359-4373
(931) 359-5772
Mailing address
815 E COMMERCE ST, LEWISBURG, TN 37091-3515
(931) 359-4373
(931) 359-5772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2156
TN
Other
Enumeration date
02/12/2007
Last updated
10/17/2019
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