Dr. Theo H. Ezell O.D.
Optometrist in Goodlettsville, TN(View on Map)
Full Name
Dr. Theo Howard Ezell O.D.
NPI Number
1033386230
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/15/2008
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
OD 493
Contact
Information
Purpose
Mailing
Location
Address
525 RIVERGATE PKWY
525 RIVERGATE PKWY
City
Goodlettsville
Goodlettsville
State
TN
TN
Postal Code
37072-2078
37072-2078
Country
US
US
Telephone Number
(615) 859-1928
(615) 859-1928
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/15/2008
Provider Address
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