Fairbanks Ocular Prosthetics, INC.
Technician/Technologist, Ocularist in Nashville, TN. Organization (NPI-2).
NPI number1700816949
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1700816949
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairbanks Ocular Prosthetics, INC.
- Organization subpart
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1700X | Technician/Technologist, Ocularist | 05-311-11 | TN | Yes |
Practice location
1720 West End AveSuite 402
Nashville, TN 37203
Phone 615-322-9940 · Fax 615-320-0970
Mailing address
1720 West End AveSuite 402
Nashville, TN 37203
Phone 615-322-9940 · Fax 615-320-0970
Authorized official
Stephen E Sanders
President
6153229940
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