Abumayaleh, Khaled Othman

Abumayaleh, Khaled Othman is an individual health care provider with primary practice located at 1030 Hunters Crossing Lane , Alcoa TN 37701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abumayaleh, Khaled Othman can be contacted via phone (865) 984-1100.

Contact Information

Primary practice address
1030 Hunters Crossing Lane Alcoa TN 37701
Phone: (865) 984-1100
Fax: (865) 984-8305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1848 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 1827 Georgia

Profile Details

NPI number 1811039266
LBN Legal business name Abumayaleh, Khaled Othman
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811039266 NPPES
Tennessee Other 1847 TN LICENSE

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