Organization
CUTTING EDGE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A ELLIS LDO (PRESIDENT)
(931) 488-5778
Entity
Organization
Contact information
Practice address
875 UNION STREET, SUITE 103, SHELBYVILLE, TN 37160
(931) 488-5778
Mailing address
875 UNION STREET, SUITE 103, SHELBYVILLE, TN 37160
(931) 488-5778
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
02/03/2023
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