Organization
JOEL G. ORTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL G ORTON O.D. (OWNER/DOCTOR)
(931) 363-6147
Entity
Organization
Contact information
Practice address
1000 EAST COLLEGE STREET, PULASKI, TN 38478-4517
(931) 363-6147
(931) 363-6155
Mailing address
PO BOX 595, PULASKI, TN 38478-0595
(931) 363-6147
(931) 363-6155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
540T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943803
—
TN
01
—
CK2477
MEDICARE RAILROAD
TN
Enumeration date
08/05/2007
Last updated
11/14/2023
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