IndividualActive
Cory Bosanko, O.D.
NPI 1730180704 · Low Vision Rehabilitation Optometrist · Crossville, TN
Provider details
- NPI number
- 1730180704
- Entity type
- Individual
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- OD0000002541 (TN)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
39 Lantana Rd
Crossville, TN 38555-4901
Phone: (931) 484-3344
Fax: (931) 456-3671
Approximate (ZIP-level) locationGet directions
Mailing address
39 Lantana Rd
Crossville, TN 38555-4901
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2021-01-22
- Certified
- 2021-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.