Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORY J. BOSANKO, O.D.
ActiveDR. CORY J. BOSANKO, O.D. is a Low Vision Rehabilitation Optometrist healthcare provider located in CROSSVILLE, Tennessee. NPI 1730180704 is currently active in the NPPES registry. Verify at CMS.
Low Vision Rehabilitation Optometrist · CROSSVILLE, TN
Registration Details
- NPI Number
- 1730180704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (21.066544583125 yrs)
- Last Updated
- Jan 22, 2021
- Licenses
-
OD0000002541 (TN)OD2541 (TN)
Practice Information
- Address
-
39 LANTANA RDCROSSVILLE, TN, 385554901Browse TN providers · Browse ZIP 38555
- Phone
- 9314843344
- Fax
- 9314563671
- Primary Specialty
-
Low Vision Rehabilitation Optometrist
152WL0500X
- Additional Specialty
- Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.