Provider Demographics
NPI:1841411857
Name:HANDLEY OPTICAL,INC.
Entity Type:Organization
Organization Name:HANDLEY OPTICAL,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:P
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-482-7565
Mailing Address - Street 1:125 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5028
Mailing Address - Country:US
Mailing Address - Phone:865-482-7565
Mailing Address - Fax:865-482-7551
Practice Address - Street 1:125 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5028
Practice Address - Country:US
Practice Address - Phone:865-482-7565
Practice Address - Fax:865-482-7551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0727560001Medicare ID - Type Unspecified