Provider Demographics
NPI:1447408539
Name:PEACE EYECARE
Entity Type:Organization
Organization Name:PEACE EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:E
Authorized Official - Last Name:PEACE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-771-6646
Mailing Address - Street 1:401 WANDERING TRL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5769
Mailing Address - Country:US
Mailing Address - Phone:615-771-6646
Mailing Address - Fax:615-435-3520
Practice Address - Street 1:1000 MERIDIAN BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6344
Practice Address - Country:US
Practice Address - Phone:615-771-6646
Practice Address - Fax:615-435-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2617152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty