Eye Centers of Tennessee, LLC

NPI #1689221970 in Sparta, Tennessee

Provider Information

NPI Number: 1689221970
Entity Type: Organization
Organization Name: Eye Centers of Tennessee, LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 21, 2019
Last Updated: Oct 21, 2020

Practice Location

Address: 305 N SPRING ST
City: Sparta
State: Tennessee
ZIP Code: 38583-1300
Phone: (931) 836-2424

Authorized Official

Name: ERIK BERGVIN
Title: COO
Phone: (931) 456-2728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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