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Contact Information

GREENEVILLE VISION CENTER
204 EMORY RD
GREENEVILLE, TN37745
 Phone: 423-638-4151
 Fax: 423-639-6861
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GREENEVILLE VISION CENTER · (Female)

NPI # 1588847834
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2007
Last updated 07/16/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # ODT1396
  • TN Medicaid 3137807
  • TN Other 3137807 BLUECROSS BLUESHIELD
  • TN Other 702006494 CARITEN HEALTHCARE
  • TN Other P00332301 MEDICARE RAILROAD
  • TN Other 100022785 PHP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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