Kenneth Robert Tennant in Madison - Optometrist

Kenneth Robert Tennant - NPI 1578542221

Kenneth Robert Tennant is a Optometrist in Madison, Georgia. Kenneth Robert Tennant practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth Robert Tennant is 1578542221. The last update date is 2009-12-11.

Kenneth Robert Tennant's current location address is 223 S Main St, Madison, Georgia. You can contact this provider via phone number 7063431876 and fax number 7063431877. The mailing address for Kenneth Robert Tennant is 223 S Main St, Madison, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Robert Tennant
Address 223 S Main St, Madison, Georgia
Phone Number 7063431876
Fax Number 7063431877
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1578542221
Provider Enumeration Date 2006-01-11
Last Updated Date 2009-12-11

Provider Mailing Address Detail

Address 223 S Main St
City Madison
State Georgia (GA)
Post Code 306501351
Phone Number 7063431876
Fax Number 7063431877

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2045
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
374592414B GA --

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FAQs about Kenneth Robert Tennant

What is the unique identifier code issued to Kenneth Robert Tennant by the Centers for Medicare & Medicaid Services?

The Kenneth Robert Tennant has been assigned the NPI (National Provider Identifier) 1578542221. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Kenneth Robert Tennant located?

The Kenneth Robert Tennant is located at 223 S Main St, Madison, GA 306501351.

What is Kenneth Robert Tennant's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenneth Robert Tennant is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

When did Kenneth Robert Tennant receive its 1578542221 assignment?

The Kenneth Robert Tennant was assigned its 1578542221 on 2006-01-11, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Kenneth Robert Tennant last refreshed?

The information related to the Kenneth Robert Tennant, including its address, specialty, and other relevant details, was last updated on 2009-12-11.

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