Hildebrand, Charles Allyn

Hildebrand, Charles Allyn is an individual health care provider with primary practice located at 1124 E Weisgarber Rd Ste 104, Knoxville TN 37909. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hildebrand, Charles Allyn can be contacted via phone (865) 584-0905.

Contact Information

Primary practice address
1124 E Weisgarber Rd Ste 104 Knoxville TN 37909
Phone: (865) 584-0905
Fax: (865) 584-3892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OD01240 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X OD1240 Tennessee

Profile Details

NPI number 1194729624
LBN Legal business name Hildebrand, Charles Allyn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 30th, 2018 - about 6 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 1194729624 NPPES
Tennessee MEDICAID 3371152

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