Lifestyle Eye Care Pllc

NPI #1629741707 in Jackson, Tennessee

Provider Information

NPI Number: 1629741707
Entity Type: Organization
Organization Name: Lifestyle Eye Care Pllc
Primary Specialty: Optometrist
Enumeration Date: Jul 26, 2021
Last Updated: Jul 26, 2021

Practice Location

Address: 1296 UNION UNIVERSITY DR STE B
City: Jackson
State: Tennessee
ZIP Code: 38305-3714
Phone: (731) 513-5755

Authorized Official

Name: TRENT MARTIN
Title: OD/OWNER
Phone: (731) 610-0858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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