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Michael A. Wolf
Eyewear Supplier in Gray, Tennessee
NPI 1164690277

Michael A. Wolf is a Eyewear Supplier based in Gray, TN. Michael A. Wolf practices in Gray, TN. The NPI Number for Michael A. Wolf is 1164690277 and holds a License No. OD0000001369 (Tennessee).

The current practice location address for Michael A. Wolf is 122 Old Gray Station Rd, Gray, TN and can be reached out via phone at 423-477-2020 and via fax at 423-477-2196.

Location: 122 Old Gray Station Rd, Gray, TN, 37615-3434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164690277
Provider Name
Michael A. Wolf
Credential
Provider Entity Type
Organization
Address
122 Old Gray Station Rd, Gray, TN, 37615-3434
Phone Number
423-477-2020
Fax Number
423-477-2196
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3591864 05 TN
institution
Provider Business Practice Location Address Details
Address
122 Old Gray Station Rd
City
Gray
State
Tennessee
Zip
37615-3434
Phone Number
423-477-2020
Fax Number
423-477-2196
person
Provider Business Mailing Address Details
Address
122 Old Gray Station Rd
City
Gray
State
Tennessee
Zip
37615-3434
Phone Number
423-477-2020
Fax Number
423-477-2196
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
OD0000001369 (Tennessee)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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