Modern Eye Gallery

NPI #1558710426 in Mount Juliet, Tennessee

Provider Information

NPI Number: 1558710426
Entity Type: Organization
Organization Name: Modern Eye Gallery
Primary Specialty: Optometrist
Enumeration Date: Jun 10, 2016
Last Updated: Jun 10, 2016

Practice Location

Address: 12904 LEBANON RD
City: Mount Juliet
State: Tennessee
ZIP Code: 37122-2865
Phone: (615) 450-0050

Authorized Official

Name: JOHN KIRBY
Title: SOLE MBR
Phone: (615) 450-0050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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