Individual
MIA J GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1855 TANNER WAY STE 120, HARRIMAN, TN 37748-8332
(865) 882-1535
(865) 882-9497
Mailing address
90 VERMONT AVE, OAK RIDGE, TN 37830-6474
(865) 882-1535
(865) 882-9497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010059
IL
152W00000X
Optometrist
1543
LA
152W00000X
Optometrist
Primary
3495
TN
Other
Enumeration date
10/23/2007
Last updated
11/05/2025
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