20-20 Experience PLLC
Optometrist in Murfreesboro, TN. Organization (NPI-2).
NPI number1326816570
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1326816570
- Entity type
- Organization (NPI-2)
- Legal business name
- 20-20 Experience PLLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2023
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WL0500X | Optometrist, Low Vision Rehabilitation | – | – | |
| 152WP0200X | Optometrist, Pediatrics | – | – | |
| 152WS0006X | Optometrist, Sports Vision | – | – | |
| 152WV0400X | Optometrist, Vision Therapy | – | – | |
| 152WX0102X | Optometrist, Occupational Vision | – | – | |
| 156FX1201X | Technician/Technologist, Optometric Assistant | – | – | |
| 156FX1202X | Technician/Technologist, Optometric Technician | – | – | |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – |
Practice location
2361 Memorial BlvdMurfreesboro, TN 37129-5108
Phone 615-896-0082
Mailing address
2361 Memorial BlvdMurfreesboro, TN 37129-5108
Authorized official
Khanh Minh Trinh
President
6158960082
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