MBC Inc
Organization Active NPI Optometrist · Oakland, TN
NPI 1013062298 · NPPES record last updated Jan 24, 2008
Key facts
- NPI
- 1013062298
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2443 (TN)
- Legal business name
- MBC INC
- Practice address
- 7085 Highway 64
Suite 2
Oakland, TN 38060-3366 - Phone
- (901) 466-1333
- Fax
- (901) 466-1333
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Wesley Oneal Persell, O.D.
- Title
- Owner
- Phone
- (901) 466-1333
Practitioners 1
-
Wesley Oneal Persell, O.D.
National Provider Directory
Locations
7085 Highway 64
Ste 2
Oakland, TN 38060
Phone (901) 466-1333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2443 | TN | Yes |
Addresses
Primary practice location
7085 Highway 64
Suite 2
Oakland, TN 38060-3366
Mailing address
7085 Highway 64
Suite 2
Oakland, TN 38060-3366
Phone (901) 466-1333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4126391 | Other | TN | BLUE CROSS BLUE SHIELD |
| 4126391 | Medicaid | TN |
Other names
- Persell Eyecare
Other providers in Oakland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.