NPI 1154737401

Michael Quackenbush, OD

Practitioner Optometrist Hixson, TN

Practice location

Address: 5433 Hixson Pike, Hixson, TN 37343-3238
Phone: (423) 843-2020

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3177 (TN)

Other Optometrist providers in Tennessee →

Registry record

NPI: 1154737401
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2014
Record last updated: 8 Jul 2014

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.