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Henderson Family Eye Care, PLLC

Optometrist in Henderson, TN. Organization (NPI-2).

NPI number1376943563
StatusActive
Last updated in NPPESAug 26, 2014

Details

NPI
1376943563
Entity type
Organization (NPI-2)
Legal business name
Henderson Family Eye Care, PLLC
Organization subpart
No
Enumeration date
Aug 26, 2014
Last updated
Aug 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist–TNYes

Practice location

401 E Main St
Henderson, TN 38340-2439

Phone 731-435-1275 · Fax 731-435-1276

Mailing address

401 E Main St
Henderson, TN 38340-2439

Phone 731-435-1275 · Fax 731-435-1276

Authorized official

Karen Nicole Johnson
Owner
7314351275

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