NPI 1003082058

Eyecare Center, LLC

Organisation Optometrist Martin, TN

Practice location

Address: 107 Kennedy Dr, Martin, TN 38237-3309
Phone: (731) 587-3555
Fax: (731) 587-9003

Authorised official

Name: Russell Moss Gilliam
Title: Optometrist
Phone: (731) 587-3555

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Tennessee →

Registry record

NPI: 1003082058
Entity type: Organization
NPI issued: 30 Apr 2008
Record last updated: 20 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.