Organization
JONESBOROUGH EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN BROOKE PUMPHREY O.D. (OWNER/OPTOMETRIST)
(423) 753-7760
Entity
Organization
Contact information
Practice address
395 FOREST CIR, UNIT 120, JONESBOROUGH, TN 37659-1439
(423) 753-7760
(423) 753-7466
Mailing address
395 FOREST CIR, UNIT 120, JONESBOROUGH, TN 37659-1439
(423) 753-7760
(423) 753-7466
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2691
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6363950001
DMERC REGION C
TN
Enumeration date
10/20/2009
Last updated
07/24/2014
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