Individual
EDDIE H ABERNATHY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
107 EAST MAIN ST, ROGERSVILLE, TN 37857
(423) 272-2020
(423) 272-5886
Mailing address
107 EAST MAIN ST, ROGERSVILLE, TN 37857
(423) 272-2020
(423) 272-5886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002084
VA
152W00000X
Optometrist
Primary
ODT 738
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3594489
—
TN
05
—
35944892
—
TN
Enumeration date
01/11/2006
Last updated
01/23/2026
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