Individual
DR. ERIC MARSHAL SELANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1815 DECATUR PIKE, ATHENS, TN 37303-4932
(423) 745-5100
(423) 745-1577
Mailing address
3608 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-8045
(423) 745-5100
(423) 745-1577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1141
NE
152W00000X
Optometrist
Primary
OD-T2529
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27756
SPECTERA
TN
01
—
34569
AVESIS
TN
05
—
3946442
—
TN
01
—
4103696
BCBS OF TN
TN
01
—
442201
NATIONAL VISION ADMINISTR
TN
01
—
52645
DAVIS VISION
TN
01
—
6446864
CIGNA
TN
01
—
P00279700
RAILROAD MEDICARE
—
Enumeration date
09/28/2006
Last updated
06/11/2011
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