person
Bobby Gene Luttrell, DO
Optician in Knoxville, Tennessee
NPI 1093862005

Bobby Gene Luttrell is a Optician based in Knoxville, TN and is specialized in Optician. Bobby Gene Luttrell practices in Knoxville, TN and has the professional credentials of DO. The NPI Number for Bobby Gene Luttrell is 1093862005 and holds a License No. 81465 (Tennessee).

The current practice location address for Bobby Gene Luttrell is 5030 Kingston Pike, Knoxville, TN and can be reached out via phone at 865-588-4052.

Location: 5030 Kingston Pike, Knoxville, TN, 37919-4702
person
Provider Profile Details
NPI Number
1093862005
Provider Name
Bobby Gene Luttrell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5030 Kingston Pike, Knoxville, TN, 37919-4702
Phone Number
865-588-4052
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4094205 01 TN BLUE CROSS BLUE SHIELD NU
institution
Provider Business Practice Location Address Details
Address
5030 Kingston Pike
City
State
Zip
37919-5187
Phone Number
865-588-4052
Fax Number
person
Provider Business Mailing Address Details
Address
5030 Kingston Pike
City
State
Zip
37919-5187
Phone Number
865-588-4052
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
81465 (Tennessee)
Definition
Definition to come...
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