| |
317 Seven Springs Way Ste 104 Brentwood TN 37027-4576 | |
(615) 637-9393 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 317 Seven Springs Way Ste 104, Brentwood, Tennessee |
Authorized Official Name and Position | Tiffany Meier (OFFICE MANGER) |
Authorized Official Contact | 6159620706 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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317 Seven Springs Way Ste 104 Brentwood TN 37027-4576 Ph: () - | 317 Seven Springs Way Ste 104 Brentwood TN 37027-4576 Ph: (615) 637-9393 |
NPI Number | 1427824143 |
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Provider Enumeration Date | 12/04/2023 |
Last Update Date | 08/22/2024 |
Medicare PECOS PAC ID | 5799224671 |
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Medicare Enrollment ID | O20240822003437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427824143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QS0132X | Clinic/center - Ophthalmologic Surgery | (* (Not Available)) | Secondary |
Provider Name | James Michael Rynerson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740285832 PECOS PAC ID: 3173549060 Enrollment ID: I20240822003744 |
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