Organization · NPI-2

20-20 Optical

Non-Pharmacy Dispensing Site · Sevierville, TN

NPI number1467527473
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1467527473
Entity type
Organization (NPI-2)
Legal business name
20-20 Optical
Organization subpart
No
Enumeration date
Nov 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing SiteDPO0000000400TNYes

Practice location

120 Bruce St
Sevierville, TN 37862-3558

Phone 865-453-2025 · Fax 865-429-1240

Mailing address

Po Box 5170
Sevierville, TN 37864-5170

Phone 865-453-2025 · Fax 865-429-1240

Authorized official

Roy R Ferguson
Co-Owner
8654532025

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