Dr. Zeke Parker Grissom, OD
Optometrist in Shelbyville, TN. Individual provider (NPI-1).
NPI number1164095758
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1164095758
- Entity type
- Individual (NPI-1)
- Name
- Dr. Zeke Parker Grissom
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3676 | TN | Yes |
Practice location
915 Colloredo BlvdShelbyville, TN 37160-2780
Phone 931-684-2197 · Fax 931-229-1112
Mailing address
515 Gregory Mill RdShelbyville, TN 37160-5565
Phone 931-703-9954 · Fax 931-229-1112
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All 10 Optometrist providers in Shelbyville · All 505 providers in Shelbyville
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