Individual
DR. MICHAEL J REDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 OVER MOUNTAIN DR, ELIZABETHTON, TN 37643-2855
(423) 543-3293
(423) 543-8305
Mailing address
1001 OVER MOUNTAIN DR, ELIZABETHTON, TN 37643-2855
(423) 543-3293
(423) 543-8305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1731
TN
152W00000X
Optometrist
5314T
TX
152W00000X
Optometrist
OPT001566
GA
152W00000X
Optometrist
R-192-TA-861
AL
Other
Enumeration date
04/12/2007
Last updated
07/28/2012
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