Stan Jordan Whitley in Covington - Optometrist
Stan Jordan Whitley - NPI 1568570232
Stan Jordan Whitley is a Optometrist in Covington, Tennessee. Stan Jordan Whitley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stan Jordan Whitley is 1568570232. The last update date is 2007-07-08.
Stan Jordan Whitley's current location address is 312 South Main St, Covington, Tennessee. You can contact this provider via phone number 9014768614 and fax number 9014751921. The mailing address for Stan Jordan Whitley is 312 South Main St, Covington, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stan Jordan Whitley |
|---|---|
| Address | 312 South Main St, Covington, Tennessee |
| Phone Number | 9014768614 |
| Fax Number | 9014751921 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1568570232 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 312 South Main St |
|---|---|
| City | Covington |
| State | Tennessee (TN) |
| Post Code | 38019 |
| Phone Number | 9014768614 |
| Fax Number | 9014751921 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 909T |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2002815 | BCBS | ||
| 3941840 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Stan Jordan Whitley by the Centers for Medicare & Medicaid Services?
The Stan Jordan Whitley has been issued the NPI (National Provider Identifier) 1568570232. 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 Stan Jordan Whitley?
The Stan Jordan Whitley is situated at 312 South Main St, in the city of Covington, state of TN, with the zip code 38019.
What is Stan Jordan Whitley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stan Jordan Whitley is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568570232 to Stan Jordan Whitley?
The Centers for Medicare & Medicaid Services assigned the 1568570232 to Stan Jordan Whitley on 2006-08-25.
When was the information regarding Stan Jordan Whitley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stan Jordan Whitley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.