Pete and Marietta Vestal Ptrs

NPI #1366572570 in Greeneville, Tennessee

Provider Information

NPI Number: 1366572570
Entity Type: Organization
Organization Name: Pete and Marietta Vestal Ptrs
Primary Specialty: Optometrist
Enumeration Date: Mar 6, 2007
Last Updated: Aug 11, 2014

Practice Location

Address: 910 TUSCULUM BLVD STE 2
City: Greeneville
State: Tennessee
ZIP Code: 37745-4004
Phone: (423) 639-2002

Authorized Official

Name: DR. MARIETTA TEMPLIN VESTAL, O.D.
Title: OPTOMETRIST PARTNER
Phone: (423) 639-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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