Martin Waller, LDO
NPI 1982111936 · on the registry since 2017
Practice
- Address
- 5301 Highway 153
Hixson, TN 37343 - Phone
- (423) 877-9990
- Organisation at this address
- Eyear Optical, Inc
Medical Clinic 20/20, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee