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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
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