Organization Name: | LODEN VISION CENTER OF PARIS, PLC |
NPI Number: | 1457546665 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEROME JACKSON CRAWFORD (ADMINISTRATOR) |
Mailing Address: | 1024 Kelley Dr Paris |
State: | TN US |
Postal Code: | 382424500 |
Phone Number: | 7316425003 |
Fax Number: | 7316428756 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD0000027224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |