Organization
LITCHFORD EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W LITCHFORD MD (OWNER)
(931) 484-9547
Entity
Organization
Contact information
Practice address
33 W ADAMS ST, CROSSVILLE, TN 38555-4836
(931) 484-9547
(931) 484-9547
Mailing address
33 W ADAMS ST, CROSSVILLE, TN 38555-4836
(931) 484-9547
(931) 484-9547
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD7983
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000639
BCBS
TN
05
—
33797017
—
TN
01
—
CM6292
RR MEDICARE
TN
Enumeration date
03/23/2007
Last updated
01/28/2008
Update your record
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