Organization
NORTHSHORE SPECIALTY EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY DILLARD PUCKETT OD (OWNER/DOCTOR)
(865) 288-4449
Entity
Organization
Contact information
Practice address
2053 THUNDERHEAD RD, KNOXVILLE, TN 37922-9488
(865) 288-4449
(865) 288-4451
Mailing address
2053 THUNDERHEAD RD, KNOXVILLE, TN 37922-9488
(865) 288-4449
(865) 288-4451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057659
—
TN
Enumeration date
03/30/2026
Last updated
03/30/2026
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