| Doctor Name: | MRS. RHONDA S GROSS |
| NPI Number: | 1457489080 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LDO |
| License Number: | TN1737 |
| Business Practice Address: | 473 Front St Spring City, TN - 37381 |
| Business Phone Number: | 4233654313 |
| Business Fax Number: | 4233654413 |
| Mailing Address: | 473 Front St, P.o. Box 706 SPRING CITY |
| State: | TN |
| Postal Code: | 373815198 |
| Phone Number: | 4233654313 |
| Fax Number: | 4233654413 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 03/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | TN1737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |