Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleveland Optical Dispensary, Inc

Organization Eyewear Supplier · NPI 1760669147

Cleveland Optical Dispensary, Inc is an Eyewear Supplier in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2415 Chambliss Ave NW
Cleveland, TN 37311-3882
Phone: (423) 479-4397
Fax: (423) 476-2974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence DPO636 (TN)

Record details

NPI number1760669147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurise Vandergriff — Owner · (423) 479-4397
NPI enumeratedJanuary 28, 2008
Last updated in NPPESJanuary 28, 2008
Mailing address2415 Chambliss Ave Nw, P.O. Box 2728, Cleveland, TN 37311-3882

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