| Sullins Eye Care P.c. | |
|
620 Englewood Rd, Madisonville, TN 37354-1218 | |
| (423) 442-2806 | |
| Not Available |
| Full Name | Sullins Eye Care P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 620 Englewood Rd, Madisonville, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720142771 | NPI | - | NPPES |
| 3590906 | Other | TN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD0000001899 (Tennessee) | Secondary |
| 152W00000X | Optometrist | OD0000001722 (Tennessee) | Secondary |
| 152W00000X | Optometrist | OD0000001689 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sullins Eye Care P.c. Po Box 247, Madisonville, TN 37354-0247 Ph: (423) 442-2806 | Sullins Eye Care P.c. 620 Englewood Rd, Madisonville, TN 37354-1218 Ph: (423) 442-2806 |
Dr. Tara K. Mullen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4525 Highway 411, Suite B, Madisonville, TN 37354 Phone: 423-442-8649 Fax: 423-420-3441 | |
Tara K. Mullen, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4525 Highway 411, Suite B, Madisonville, TN 37354 Phone: 423-442-8649 Fax: 423-420-3441 |