Martin Lee Waller II, LDO
Martin Lee Waller II, LDO is an Optician in Hixson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.
- Licensed in
- TN
- In the registry since
- 2017
Practice location Address checks out
5301 Highway 153Hixson, TN 37343-4966
Phone: (423) 877-9990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence DPO0000002824 (TN) |
|---|
Record details
| NPI number | 1982111936 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | December 29, 2017 |
| Last updated in NPPES | December 29, 2017 |
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Cindy A Crittenden-Henderson, LDO
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-
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