Organization
DEVINEVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DEVINE OD (OPTOMETRIST)
(615) 727-0177
Entity
Organization
Contact information
Practice address
6549 KANUGA DR, KNOXVILLE, TN 37912-1600
(865) 356-9475
Mailing address
PO BOX 7756, ROCKY MOUNT, NC 27804-0756
(252) 985-1371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370251
—
TN
01
—
U75228
DANIEL UPIN #
—
01
—
U78142
LYNETTE UPIN #
—
Enumeration date
01/18/2008
Last updated
02/18/2009
Update your record
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