Individual
DANIEL DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3000 MALL ROAD NORTH, KNOXVILLE CENTER MALL, KNOXVILLE, TN 37924
(865) 521-3747
Mailing address
1201 RAMBLING CT, GREENEVILLE, TN 37743-6635
(423) 639-3187
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010300568
—
VA
05
—
3942583
—
TN
05
—
39425841
—
TN
Enumeration date
11/13/2006
Last updated
05/08/2008
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