28 West Pllc

NPI #1922711654 in Ooltewah, Tennessee

Provider Information

NPI Number: 1922711654
Entity Type: Organization
Organization Name: 28 West Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 27, 2022
Last Updated: Jan 22, 2023

Practice Location

Address: 1688 OOLTEWAH RINGGOLD RD
Address 2: SUITE 104
City: Ooltewah
State: Tennessee
ZIP Code: 37363
Phone: (731) 267-1363

Authorized Official

Name: DR. BENJAMIN CARDEN, OD
Title: PRESIDENT
Phone: (731) 267-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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