Organization
LOW VISION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D. GILLILAND O.D. (PRESIDENT)
(865) 522-2449
Entity
Organization
Contact information
Practice address
1124 E WEISGARBER RD, SUITE 204, KNOXVILLE, TN 37909-2686
(865) 522-2449
(865) 522-6453
Mailing address
1124 E WEISGARBER RD, SUITE 204, KNOXVILLE, TN 37909-2686
(865) 522-2449
(865) 522-6453
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
1593OD
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943667
—
TN
01
—
DE8160
RAILROAD MEDICARE
—
Enumeration date
03/02/2008
Last updated
10/31/2011
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