Organization
LINDA'S EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA L DAVIS D.P.O (OPTICIAN)
(865) 977-0285
Entity
Organization
Contact information
Practice address
312 S WASHINGTON ST, MARYVILLE, TN 37804-5800
(865) 977-0285
(865) 977-1459
Mailing address
312 S WASHINGTON ST, MARYVILLE, TN 37804-5800
(865) 977-0285
(865) 977-1459
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DPO719
TN
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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