Organization
CLANCY OPTICAL COMPANY
Active
Parent organization
CLANCY OPTICAL COMPANY
Other names
Spex Contemporary Eyewear
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLANCY OPTICAL COMPANY
Authorized official
MR. STEPHEN P CLANCY OPTICIAN (PRESIDENT)
(865) 584-7739
Entity
Organization
Contact information
Practice address
4620 KINGSTON PIKE, KNOXVILLE, TN 37919-5230
(865) 584-7739
(865) 584-3624
Mailing address
4620 KINGSTON PIKE, KNOXVILLE, TN 37919-5230
(865) 584-7739
(865) 584-3624
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
93733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009543
BC BS OF TN PIN NUMBER
TN
01
—
45152
SPECTERA
TN
01
—
702013204
CARITEN SENIOR HEALTH
TN
01
—
CL1533258
CLARITY VISION PROVIDER #
TN
01
—
TN1348
EYEMED PROVIDER#
TN
Enumeration date
12/08/2006
Last updated
12/22/2015
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