Provider Demographics
NPI:1336511930
Name:THE EYE DOCTORS - OPTOMETRISTS
Entity Type:Organization
Organization Name:THE EYE DOCTORS - OPTOMETRISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOREY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:915-494-1945
Mailing Address - Street 1:1025 CEDARMONT DR
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:TN
Mailing Address - Zip Code:37010-8025
Mailing Address - Country:US
Mailing Address - Phone:915-494-1945
Mailing Address - Fax:
Practice Address - Street 1:2315 MADISON ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5454
Practice Address - Country:US
Practice Address - Phone:931-647-9411
Practice Address - Fax:931-647-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty