Eyecare Revolution LLC

NPI #1194040246 in Franklin, Tennessee

Provider Information

NPI Number: 1194040246
Entity Type: Organization
Organization Name: Eyecare Revolution LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 1, 2010
Last Updated: Jan 23, 2014

Practice Location

Address: 3070 MALLORY LN
City: Franklin
State: Tennessee
ZIP Code: 37067-8304
Phone: (615) 771-4006

Authorized Official

Name: JENNIFER NANCE, O.D.
Title: MANAGING MEMBER
Phone: (615) 771-4006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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