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Organization

FAMILY VISON AND CONTACT LENS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENJAMIN SCOTT PARRISH DPO (OWNER OPTICIAN)
(423) 581-4295
Entity
Organization

Contact information

Practice address
3765 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-1101
(423) 581-4295
Mailing address
3765 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-1101
(423) 581-4295

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
DPO496
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DPO496
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0162127
BLUE CARE TENNCARE
TN
01
0162127
BLUE CROSS BLUE SHIELD
01
10042623
PHP TENNCARE
TN
01
702025890
CARITEN HEALTHCARE
TN
Enumeration date
01/10/2007
Last updated
10/30/2008
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