| NPI | 1619426566 |
|---|---|
| Doing Business As | ANDES OPTICAL |
| Entity Type | Organization |
| Authorized Contact | RHONDA GARRISON Credentialing Coordinator 865-584-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD1240) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD2250) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD0520) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD3062) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD2937) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD16011) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD21400) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD29986) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD34217) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD49890) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2017-03-15 |