Lake Shore Retina, SC Corp
Lake Shore Retina, SC Corp is an Ophthalmology Physician in Dandridge, Tennessee. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1208 Gay StDandridge, TN 37725-4720
Phone: (865) 484-9948
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X |
|---|
Record details
| NPI number | 1255564258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Srilakshmi Maguluri — President · (773) 677-2962 |
| NPI enumerated | August 25, 2009 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
| Mailing address | Po Box 1751, Dandridge, TN 37725-1751 |