Organization
MOUNTAIN CITY FAMILY VISION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE JOHNSON (PRACTICE MANAGER)
(423) 727-7733
Entity
Organization
Contact information
Practice address
1162 S SHADY ST UNIT B, MOUNTAIN CITY, TN 37683-2275
(423) 727-7733
Mailing address
1162 S SHADY ST UNIT B, MOUNTAIN CITY, TN 37683-2275
(423) 727-7733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD371
TN
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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