Organization
CHATTANOOGA VISION CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M REYNOLDS M.D. (PRESIDENT/OWNER)
(423) 870-4900
Entity
Organization
Contact information
Practice address
2158 NORTHGATE PARK LN, SUITE 302, CHATTANOOGA, TN 37415-6957
(423) 870-4900
(423) 870-5889
Mailing address
2158 NORTHGATE PARK LN, SUITE 302, CHATTANOOGA, TN 37415-6957
(423) 870-4900
(423) 870-5889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3711088
—
TN
Enumeration date
02/21/2006
Last updated
08/23/2011
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