Larry-W-Bloomingburg-Od
Larry-W-Bloomingburg-Od is an Eyewear Supplier in Henderson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.
- Licensed in
- TN
- In the registry since
- 2008
Practice location Address checks out
138 S Washington AveHenderson, TN 38340-2323
Phone: (731) 989-3511
Fax: (731) 989-3515
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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 573 (TN) |
|---|
Record details
| NPI number | 1952571895 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Bllomingburg — Owner · (731) 989-3511 |
| NPI enumerated | March 6, 2008 |
| Last updated in NPPES | March 6, 2008 |
| Mailing address | 138 S Washington Ave, Henderson, TN 38340-2323 |
Other providers in Henderson
-
Stuart D Rogers, OD
124 N Washington Ave, Henderson, TN 38340-1800 · (731) 989-2711