NPI 1447374509

Dewayne Durham, DPO

Practitioner Optician Chattanooga, TN

Practice location

Address: 7002 Shallowford Rd, Chattanooga, TN 37421-1715
Phone: (423) 499-0810
Mailing address: 5515 Millstone Dr, Ooltewah, TN 37363-6859

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence TN0844 (TN)

Other Technician/Technologist providers in Tennessee →

Registry record

NPI: 1447374509
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2007
Record last updated: 8 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.