MARIETTA VESTAL, OD

Optometrist

Active Individual
NPI: 1992786420

Practice Address

910 TUSCULUM BLVD
STE 2
Greeneville, TN 37745

Phone: (423) 639-2002

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes OD0000000490 (TN)

Frequently Asked Questions

NPI 1992786420 is the National Provider Identifier for MARIETTA VESTAL, OD, a Optometrist provider located in Greeneville, TN. This NPI was enumerated on November 10, 2005.
MARIETTA VESTAL, OD practices at 910 TUSCULUM BLVD, STE 2, Greeneville, TN 37745.

Quick Facts

NPI
1992786420
Type
Individual
Enumerated
Nov 10, 2005
Last Updated
Jan 16, 2008

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