Brenta Medley is a Optometrist in Collierville, Tennessee. Brenta Medley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brenta Medley is 1639162688. The last update date is 2012-01-09.
Brenta Medley's current location address is 499 E. Winchester Blvd, Collierville, Tennessee. You can contact this provider via phone number 9018502366 and fax number 9018502367. The mailing address for Brenta Medley is 499 E. Winchester Blvd, Collierville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenta Medley |
|---|---|
| Address | 499 E. Winchester Blvd, Collierville, Tennessee |
| Phone Number | 9018502366 |
| Fax Number | 9018502367 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1639162688 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2012-01-09 |
Provider Mailing Address Detail
| Address | 499 E. Winchester Blvd |
|---|---|
| City | Collierville |
| State | Tennessee (TN) |
| Post Code | 380174054 |
| Phone Number | 9018502366 |
| Fax Number | 9018502367 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1748 |
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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 |
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What is the unique identification code assigned to Brenta Medley by the Centers for Medicare & Medicaid Services?
The Brenta Medley has been issued the NPI (National Provider Identifier) 1639162688. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brenta Medley?
The Brenta Medley is situated at 499 E. Winchester Blvd, in the city of Collierville, state of TN, with the zip code 380174054.
What is Brenta Medley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brenta Medley is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Brenta Medley receive the assignment of its 1639162688 from the Centers for Medicare & Medicaid Services?
The Brenta Medley was issued its 1639162688 by the Centers for Medicare & Medicaid Services on 2005-08-25.
As of what date was the information regarding Brenta Medley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brenta Medley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-09.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA