Organization
BEDFORD VISION AND EYE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L SHAMBLIN OD (OWNER)
(931) 684-2197
Entity
Organization
Contact information
Practice address
915 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2780
(931) 684-2197
(931) 684-8562
Mailing address
915 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2780
(931) 684-2197
(931) 684-8562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1074
TN
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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