institution
Keith E. Whaley O.d.
Eyewear Supplier in Pigeon Forge, Tennessee
NPI 1467617670

Keith E. Whaley O.d. is a Eyewear Supplier based in Pigeon Forge, TN. Keith E. Whaley O.d. practices in Pigeon Forge, TN. The NPI Number for Keith E. Whaley O.d. is 1467617670 and holds a License No. OD1729 (Tennessee).

The current practice location address for Keith E. Whaley O.d. is 2541 Sand Pike Blvd, Pigeon Forge, TN and can be reached out via phone at 865-428-0959.

Location: 2541 Sand Pike Blvd, Pigeon Forge, TN, 37863-6205
institution
Provider Profile Details
NPI Number
1467617670
Provider Name
Keith E. Whaley O.d.
Credential
Provider Entity Type
Organization
Address
2541 Sand Pike Blvd, Pigeon Forge, TN, 37863-6205
Phone Number
865-428-0959
Fax Number
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3041669 01 TN BCBS
3940567 05 TN
institution
Provider Business Practice Location Address Details
Address
2541 Sand Pike Blvd
City
State
Zip
37863-6205
Phone Number
865-428-0959
Fax Number
person
Provider Business Mailing Address Details
Address
2541 Sand Pike Blvd
City
State
Zip
37863-6205
Phone Number
865-428-0959
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
OD1729 (Tennessee)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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