Provider Demographics
NPI:1154484145
Name:DOCTORS OPTICAL LLC
Entity Type:Organization
Organization Name:DOCTORS OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:423-587-2450
Mailing Address - Street 1:3001 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3614
Mailing Address - Country:US
Mailing Address - Phone:423-587-2450
Mailing Address - Fax:423-585-4249
Practice Address - Street 1:3001 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3614
Practice Address - Country:US
Practice Address - Phone:423-587-2450
Practice Address - Fax:423-585-4249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6437332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4268930001Medicare ID - Type Unspecified