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Larry-w-bloomingburg-od
Eyewear Supplier in Henderson, Tennessee
NPI 1952571895

Larry-w-bloomingburg-od is a Eyewear Supplier based in Henderson, TN. Larry-w-bloomingburg-od practices in Henderson, TN. The NPI Number for Larry-w-bloomingburg-od is 1952571895 and holds a License No. 573 (Tennessee).

The current practice location address for Larry-w-bloomingburg-od is 138 S Washington Ave, Henderson, TN and can be reached out via phone at 731-989-3511 and via fax at 731-989-3515.

Location: 138 S Washington Ave, Henderson, TN, 38340-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952571895
Provider Name
Larry-w-bloomingburg-od
Credential
Provider Entity Type
Organization
Address
138 S Washington Ave, Henderson, TN, 38340-2323
Phone Number
731-989-3511
Fax Number
731-989-3515
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
138 S Washington Ave
City
Henderson
State
Tennessee
Zip
38340-2323
Phone Number
731-989-3511
Fax Number
731-989-3515
person
Provider Business Mailing Address Details
Address
138 S Washington Ave
City
Henderson
State
Tennessee
Zip
38340-2323
Phone Number
731-989-3511
Fax Number
731-989-3515
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
573 (Tennessee)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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