OrganizationActive
Eyecare Center, LLC
NPI 1003082058 · Optometrist · Martin, TN
Provider details
- NPI number
- 1003082058
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Russell Gilliam, Optometrist(731) 587-3555
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
107 Kennedy Dr
Martin, TN 38237-3309
Phone: (731) 587-3555
Fax: (731) 587-9003
Approximate (ZIP-level) locationGet directions
Mailing address
107 Kennedy Dr
Martin, TN 38237-3309
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2009-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.