Optometric Center Professional Corporation

NPI #1316012099 in Dresden, Tennessee

Provider Information

NPI Number
1316012099
Entity Type
Organization
Organization Name
Optometric Center Professional Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
OPTOMETRIC CENTER PC
Primary Specialty
Optometrist
Enumeration Date
Nov 21, 2006
Last Updated
Jun 21, 2021

Practice Location

Address
113 E LOCUST ST
ZIP Code
38225-1440
Phone
(731) 364-2150

Authorized Official

Name
MR. EDWIN G ANDERSON, OD
Title
OWNER
Phone
(731) 364-2150

Specialties & Taxonomy Codes

Specialty
Optometrist

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