Organization
FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA A. GRIST O.D. (OWNER)
(423) 928-1010
Entity
Organization
Contact information
Practice address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Mailing address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
01/22/2013
Last updated
05/03/2013
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