Provider Demographics
NPI:1164437836
Name:DABBS, ANGELA LEE ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:LEE ANN
Last Name:DABBS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:LEE ANN
Other - Last Name:SPENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1760 W MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-2834
Mailing Address - Country:US
Mailing Address - Phone:423-581-2020
Mailing Address - Fax:423-581-2040
Practice Address - Street 1:1760 W MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2834
Practice Address - Country:US
Practice Address - Phone:423-581-2020
Practice Address - Fax:423-581-2040
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2663152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics