Whalio Doctors

NPI 1093862005

Bobby Gene Luttrell, DO

Practitioner Optician Knoxville, TN

Practice location

Address
5030 Kingston Pike, Knoxville, TN 37919-5187
Phone
(865) 588-4052
Mailing address
7740 Queensbury Dr, Knoxville, TN 37919-4702

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 81465 (TN)

Registry record

NPI
1093862005
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jan 2007
Record last updated
9 Jul 2007

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.