| Organization Name: | JONESBOROUGH EYE CLINIC, PLLC |
| NPI Number: | 1861728263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTEN BROOKE PUMPHREY (OWNER/OPTOMETRIST) |
| Mailing Address: | 395 Forest Cir Unit 120 Jonesborough |
| State: | TN US |
| Postal Code: | 376591439 |
| Phone Number: | 4237537760 |
| Fax Number: | 4237537466 |
| NPI Enumeration Date: | 10/20/2009 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 2691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |