Optical Boutique Family Eyecare

NPI #1891569711 in Germantown, Tennessee

Provider Information

NPI Number: 1891569711
Entity Type: Organization
Organization Name: Optical Boutique Family Eyecare
Primary Specialty: Optometrist
Enumeration Date: Nov 10, 2023
Last Updated: Nov 10, 2023

Practice Location

Address: 2109 WEST ST
City: Germantown
State: Tennessee
ZIP Code: 38138-3833
Phone: (901) 754-6020

Authorized Official

Name: MRS. BRISTER SHUM
Title: MANAGER
Phone: (901) 754-6020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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