Organization
EYE ASSOCIATES OPTICAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN BOB MAHAN M.D. (OWNER)
(931) 461-0222
Entity
Organization
Contact information
Practice address
926 N JACKSON ST, TULLAHOMA, TN 37388-2332
(931) 461-0222
(931) 393-4156
Mailing address
926 N JACKSON ST, TULLAHOMA, TN 37388-2332
(931) 461-0222
(931) 393-4156
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521802
—
TN
Enumeration date
03/05/2007
Last updated
04/25/2012
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