Short, Jacquelyn Gayle

Short, Jacquelyn Gayle is an individual health care provider with primary practice located at 7600 Kingston Pike Ste 1480 , Knoxville TN 37919-5632. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Short, Jacquelyn Gayle can be contacted via phone (865) 694-7527.

Contact Information

Primary practice address
7600 Kingston Pike Ste 1480 Knoxville TN 37919-5632
Phone: (865) 694-7527
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 3172 Tennessee
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 3172 Tennessee
Eye and Vision Services Providers / Pediatrics 152WP0200X 3172 Tennessee
Eye and Vision Services Providers / Occupational Vision 152WX0102X 3172 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 3172 Tennessee

Profile Details

NPI number 1588072003
LBN Legal business name Short, Jacquelyn Gayle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Oct 1st, 2021 - about 3 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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