Organization
EYE CENTERS OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA D BREEDING (OFFICE MANAGER)
(931) 456-2728
Entity
Organization
Contact information
Practice address
1205 OLD HWY 127 SOUTH, JAMESTOWN, TN 38556
(931) 879-5897
(931) 879-8166
Mailing address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
OD729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3724243
—
TN
Enumeration date
03/20/2007
Last updated
04/26/2021
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