Mckenzie Medical Center, Pc in Gleason - Optometrist

Mckenzie Medical Center, Pc - NPI 1225083991

Mckenzie Medical Center, Pc is a Optometrist in Gleason, Tennessee. Mckenzie Medical Center, Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mckenzie Medical Center, Pc is 1225083991. The last update date is 2021-04-05.

Mckenzie Medical Center, Pc's current location address is 105 N Cedar St, Gleason, Tennessee. You can contact this provider via phone number 7316485634 and fax number 7316489155. The mailing address for Mckenzie Medical Center, Pc is 105 N Cedar St, Gleason, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mckenzie Medical Center, Pc
Address 105 N Cedar St, Gleason, Tennessee
Phone Number 7316485634
Fax Number 7316489155
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Ledbetter Doris Amelia
Telephone Number 5733354715

NPI Number Detail

NPI Number 1225083991
Provider Enumeration Date 2006-05-23
Last Updated Date 2021-04-05

Provider Mailing Address Detail

Address 105 N Cedar St
City Gleason
State Tennessee (TN)
Post Code 382297264
Phone Number 7316485634
Fax Number 7316489155

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No ODT1599
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
3380640 TN MEDICARE GROUP
3380640 TN GROUP MEDICAID
3730458 TN --

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FAQs about Mckenzie Medical Center, Pc

What is the unique identifier code issued to Mckenzie Medical Center, Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Mckenzie Medical Center, Pc has been assigned the NPI (National Provider Identifier) 1225083991. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Mckenzie Medical Center, Pc?

The Mckenzie Medical Center, Pc is situated at 105 N Cedar St, in the city of Gleason, state of TN, with the zip code 382297264.

What is Mckenzie Medical Center, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mckenzie Medical Center, Pc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1225083991 to Mckenzie Medical Center, Pc?

The Mckenzie Medical Center, Pc received its 1225083991 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.

When was the information related to Mckenzie Medical Center, Pc most recently updated or refreshed?

The details pertaining to the Mckenzie Medical Center, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-04-05.

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