Patrick D. Shorter
Optometrist in Jonesborough, TN. Organization (NPI-2).
NPI number1013047166
StatusActive
Last updated in NPPESMar 6, 2008
Details
- NPI
- 1013047166
- Entity type
- Organization (NPI-2)
- Legal business name
- Patrick D. Shorter
- Organization subpart
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Mar 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TN2533 | TN | Yes |
Other names
- Jonesborough Eye Clinic (Doing Business As)
Practice location
805 E Jackson BlvdJonesborough, TN 37659-1540
Phone 423-753-7760 · Fax 423-753-7466
Mailing address
805 E Jackson BlvdJonesborough, TN 37659-1540
Phone 423-753-7760 · Fax 423-753-7466
Authorized official
Patrick Shorter
Owner
4237537760
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