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Organization

DYERSBURG FAMILY EYE CARE

Active
Parent organization
DYERSBURG FAMILY EYE CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
DYERSBURG FAMILY EYE CARE
Authorized official
DR. THOMAS EARL MANNING O.D. (OWNER PARTNER)
(731) 285-5411
Entity
Organization

Contact information

Practice address
401 E TICKLE ST, DYERSBURG, TN 38024-3163
(731) 285-5411
(731) 285-8481
Mailing address
401 E TICKLE ST, DYERSBURG, TN 38024-3163
(731) 285-5411
(731) 285-8481

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1175
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3722767
TN
Enumeration date
11/30/2006
Last updated
01/05/2010
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