Patrick Fitzgerald Od Pa in Kodak - Optometrist
Patrick Fitzgerald Od Pa - NPI 1851417380
Patrick Fitzgerald Od Pa is a Optometrist in Kodak, Tennessee. Patrick Fitzgerald Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Patrick Fitzgerald Od Pa is 1851417380. The last update date is 2011-12-22.
Patrick Fitzgerald Od Pa's current location address is 3219 Topside Dr, Kodak, Tennessee. You can contact this provider via phone number 8657651562. The mailing address for Patrick Fitzgerald Od Pa is 3219 Topside Dr, Kodak, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Patrick Fitzgerald Od Pa |
|---|---|
| Address | 3219 Topside Dr, Kodak, Tennessee |
| Phone Number | 8657651562 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fitzgerald Patrick James |
| Credentials | OD |
| Telephone Number | 8657651562 |
NPI Number Detail
| NPI Number | 1851417380 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2011-12-22 |
Provider Mailing Address Detail
| Address | 3219 Topside Dr |
|---|---|
| City | Kodak |
| State | Tennessee (TN) |
| Post Code | 377642354 |
| Phone Number | 8657651562 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2791 |
|
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 |
|---|---|---|---|
| 11624916 | TN | CAQH | |
| 2175001 | TN | ADVANTICA | |
| 88 | FL | FOPN | |
| 112546 | FL | EYEMED | |
| FE29254 | OPTUM VISION SPECTERA | ||
| 78771000 | FL | -- | |
| 63520 | TN | DAVIS VISION |
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What is the unique identification code assigned to Patrick Fitzgerald Od Pa by the Centers for Medicare & Medicaid Services?
The Patrick Fitzgerald Od Pa has been issued the NPI (National Provider Identifier) 1851417380. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patrick Fitzgerald Od Pa located?
The Patrick Fitzgerald Od Pa is located at 3219 Topside Dr, Kodak, TN 377642354.
What is the area of specialization for Patrick Fitzgerald Od Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patrick Fitzgerald Od Pa is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date was the 1851417380 assigned to Patrick Fitzgerald Od Pa?
The Patrick Fitzgerald Od Pa was issued its 1851417380 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Patrick Fitzgerald Od Pa most recently updated or revised?
The information pertaining to Patrick Fitzgerald Od Pa, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-22.
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