Organization
MEDINA EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LEE (O.D.)
(731) 225-1894
Entity
Organization
Contact information
Practice address
25 MIDDLE SCHOOL ROAD, MEDINA, TN 38355
(731) 225-1894
Mailing address
25 MIDDLE SCHOOL ROAD, MEDINA, TN 38355
(731) 225-1894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2579
TN
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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