Rollins, Charles Larry

Rollins, Charles Larry is an individual health care provider with primary practice located at 521 Highway 321 N The Eye Center Of Lenoir City, Lenoir City TN 37771-6541. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rollins, Charles Larry can be contacted via phone (865) 986-3518.

Contact Information

Primary practice address
521 Highway 321 N The Eye Center Of Lenoir City Lenoir City TN 37771-6541
Fax: (865) 986-6380
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD0594T Tennessee

Profile Details

NPI number 1982698817
LBN Legal business name Rollins, Charles Larry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 18 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 1982698817 NPPES
Tennessee MEDICAID 3593548

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