| Organization Name: | LISA L. PRIVETT, O.D. |
| NPI Number: | 1073791406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA PRIVETT (OPTOMETRIST/OWNER) |
| Mailing Address: | 140 S Bells St Alamo |
| State: | TN US |
| Postal Code: | 380011732 |
| Phone Number: | 7316964004 |
| Fax Number: | 7316964009 |
| NPI Enumeration Date: | 02/07/2008 |
| NPI Last Update Date: | 02/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | T1481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |