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Optometry Group Enterprises, PC

NPI #1104968338 in Lakeland, Tennessee

Provider Information

NPI Number
1104968338
Entity Type
Organization
Organization Name
Optometry Group Enterprises, PC
Primary Specialty
Optometrist
Enumeration Date
Feb 13, 2007
Last Updated
Jul 19, 2012

Practice Location

Address
2961 CANADA RD
Address 2
SUITE 104
City
Lakeland
State
Tennessee
ZIP Code
38002-4893
Phone
(901) 380-2020

Authorized Official

Name
DR. BART L. POWELL, O.D.
Title
OWNER-DOCTOR
Phone
(901) 380-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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