| Organization Name: | LOWERY OPTICAL |
| NPI Number: | 1013196294 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEXTER LOWERY (PRESIDENT) |
| Mailing Address: | 7865 Trinity Rd Suite 101 Cordova |
| State: | TN US |
| Postal Code: | 380182273 |
| Phone Number: | 9014058007 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2007 |
| NPI Last Update Date: | 10/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |