Pete And Marietta Vestal Ptrs in Greeneville - Optometrist
Pete And Marietta Vestal Ptrs - NPI 1366572570
Pete And Marietta Vestal Ptrs is a Optometrist in Greeneville, Tennessee. Pete And Marietta Vestal Ptrs practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Pete And Marietta Vestal Ptrs is 1366572570. The last update date is 2014-08-11.
Pete And Marietta Vestal Ptrs's current location address is 910 Tusculum Blvd Ste 2, Greeneville, Tennessee. You can contact this provider via phone number 4236392002 and fax number 4236384522. The mailing address for Pete And Marietta Vestal Ptrs is 910 Tusculum Blvd Ste 2, Greeneville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pete And Marietta Vestal Ptrs |
|---|---|
| Address | 910 Tusculum Blvd Ste 2, Greeneville, Tennessee |
| Phone Number | 4236392002 |
| Fax Number | 4236384522 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Vestal Templin Marietta |
| Credentials | O.D. |
| Telephone Number | 4236392002 |
NPI Number Detail
| NPI Number | 1366572570 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 910 Tusculum Blvd Ste 2 |
|---|---|
| City | Greeneville |
| State | Tennessee (TN) |
| Post Code | 377454004 |
| Phone Number | 4236392002 |
| Fax Number | 4236384522 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD0000000490 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3517736 | TN | -- | |
| 3593480 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pete And Marietta Vestal Ptrs?
The Pete And Marietta Vestal Ptrs has been issued the NPI (National Provider Identifier) 1366572570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pete And Marietta Vestal Ptrs located?
The Pete And Marietta Vestal Ptrs is located at 910 Tusculum Blvd Ste 2, Greeneville, TN 377454004.
What is Pete And Marietta Vestal Ptrs's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pete And Marietta Vestal Ptrs is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Pete And Marietta Vestal Ptrs receive its 1366572570 assignment from the Centers for Medicare & Medicaid Services?
The Pete And Marietta Vestal Ptrs was assigned its 1366572570 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the Pete And Marietta Vestal Ptrs's details last updated?
The information pertaining to the Pete And Marietta Vestal Ptrs, including its address, specialty, and other details, was most recently updated on 2014-08-11.