| 901 Optical Llc | |
|
1795 N Germantown Pkwy Cordova TN 38016-5092 | |
| (901) 737-1333 | |
| (901) 473-1723 |
| Full Name | 901 Optical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1795 N Germantown Pkwy, Cordova, Tennessee |
| Authorized Official Name and Position | Rebecca Bills (OWNER) |
| Authorized Official Contact | 9017371333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 901 Optical Llc 1795 N Germantown Pkwy Cordova TN 38016-5092 Ph: (901) 737-1333 | 901 Optical Llc 1795 N Germantown Pkwy Cordova TN 38016-5092 Ph: (901) 737-1333 |
| NPI Number | 1568930170 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Medicare PECOS PAC ID | 0749528065 |
|---|---|
| Medicare Enrollment ID | O20190212002666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568930170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rebecca L Bills |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114186624 PECOS PAC ID: 3173846904 Enrollment ID: I20141230001749 |
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