Organization
ENVISION FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L VINES O.D. (OPTOMETRIST/OWNER)
(865) 982-6110
Entity
Organization
Contact information
Practice address
333 E HARPER AVE, MARYVILLE, TN 37804-5724
(865) 982-6110
(865) 977-7243
Mailing address
333 E HARPER AVE, MARYVILLE, TN 37804-5724
(865) 982-6110
(865) 977-7243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT-1895
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790877975
NPI INDIVIDUAL
TN
01
—
185143036
NPI INDIVIDUAL
TN
01
—
1962471789
NPI INDIVIDUAL
TN
Enumeration date
10/01/2007
Last updated
11/30/2016
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