Organization
CONTACT LENS ASSOCIATES
Active
Other names
Image Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELLEN THOMPSON LDO700 (PRESIDENT/OWNER)
(615) 327-1614
Entity
Organization
Contact information
Practice address
2531 W END AVE, NASHVILLE, TN 37203-1423
(615) 327-1614
(615) 327-2413
Mailing address
2531 W END AVE, NASHVILLE, TN 37203-1423
(615) 327-1614
(615) 327-2413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
156FX1800X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103745
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/08/2008
Last updated
10/08/2008
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