Old Stage Eye Care

NPI #1386879716 in Greeneville, Tennessee

Provider Information

NPI Number: 1386879716
Entity Type: Organization
Organization Name: Old Stage Eye Care
Primary Specialty: Optometrist
Enumeration Date: May 29, 2009
Last Updated: May 29, 2009

Practice Location

Address: 15 OLD STAGE RD
Address 2: SUITE A
City: Greeneville
State: Tennessee
ZIP Code: 37745-3117
Phone: (423) 639-8856

Authorized Official

Name: DR. JOHN KEVIN CLEMENT, O.D.
Title: OWNER
Phone: (423) 639-8856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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