Basic Information
| Provider Information | |||||||||
| NPI: | 1104440486 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUGHES | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | GARLYN | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 W MAGNOLIA AVE APT 201 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379177591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2703022769 | ||||||||
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| Practice Location | |||||||||
| Address1: | 622 SMITHVIEW DR | ||||||||
| Address2: | |||||||||
| City: | MARYVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378036100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652442020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2020 | ||||||||
| LastUpdateDate: | 07/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 3627 | TN | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.