Lacey D Puckett (NPI# 1053424457, PAC ID# 2961500327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1053424457 |
PAC ID by PECOS | 2961500327 |
Professional Enrollment ID | I20070607000649 |
Full Name | Lacey D Puckett |
Organization Legal Name | DR. LACEY D. PUCKETT AND ASSOCIATES, INC. |
Address |
3001 Knoxville Ctr Dr Suite 2294 Knoxville TN 37924-5083 |
Phone Number | 8655441677 |
Gender | F |
Credential | OD |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2006 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2062788573 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
3001 Knoxville Ctr Dr, Suite 2294, Knoxville, TN 37924-5083 | 8655441677 | DR. LACEY D. PUCKETT AND ASSOCIATES, INC. |
Organization Legal Name | DR. LACEY D. PUCKETT AND ASSOCIATES, INC. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynette E Devine | Optometry | Dr. Lacey D. Puckett and Associates, Inc. | 3001 Knoxville Ctr Dr, Suite 2294, Knoxville, TN 37924-5083 |
Jami A Kozlowski | Optometry | Dr. Lacey D. Puckett and Associates, Inc. | 3001 Knoxville Ctr Dr, Suite 2294, Knoxville, TN 37924-5083 |
Street Address |
3001 KNOXVILLE CTR DR SUITE 2294 |
City | KNOXVILLE |
State | TN |
Zip | 37924-5083 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynette E Devine | Optometry | Dr. Lacey D. Puckett and Associates, Inc. | 3001 Knoxville Ctr Dr, Suite 2294, Knoxville, TN 37924-5083 |
Jami A Kozlowski | Optometry | Dr. Lacey D. Puckett and Associates, Inc. | 3001 Knoxville Ctr Dr, Suite 2294, Knoxville, TN 37924-5083 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mathew E Turner | Optometry | 3051 Kinzel Way, Knoxville, TN 37924-2190 | |
Forrest Richard Dyer | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 8357 Asheville Hwy, Suite 201, Knoxville, TN 37924-4102 |
Hannah Joy Wells | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 8357 Asheville Hwy, Suite 201, Knoxville, TN 37924-4102 |
Cody L Moldenhauer | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 8357 Asheville Hwy, Suite 201, Knoxville, TN 37924-4102 |
Bryan Scott Keith | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 8537 Asheville Hwy 201, Knoxville, TN 37924-4123 |
City | KNOXVILLE |
Zip Code | 37924 |
Specialty | OPTOMETRY |
City + Specialty | KNOXVILLE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.