Stacy Rebecca Conrad in Signal Mountain - Optometrist
Stacy Rebecca Conrad - NPI 1902802176
Stacy Rebecca Conrad is a Optometrist in Signal Mountain, Tennessee. Stacy Rebecca Conrad practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stacy Rebecca Conrad is 1902802176. The last update date is 2010-04-13.
Stacy Rebecca Conrad's current location address is 8015 Mill Creek Rd, Signal Mountain, Tennessee. You can contact this provider via phone number 4238869080. The mailing address for Stacy Rebecca Conrad is 8015 Mill Creek Rd, Signal Mountain, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Rebecca Conrad |
|---|---|
| Address | 8015 Mill Creek Rd, Signal Mountain, Tennessee |
| Phone Number | 4238869080 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1902802176 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2010-04-13 |
Provider Mailing Address Detail
| Address | 8015 Mill Creek Rd |
|---|---|
| City | Signal Mountain |
| State | Tennessee (TN) |
| Post Code | 373771734 |
| Phone Number | 4238869080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1976 |
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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 |
|---|---|---|---|
| 3944233 | TN | PTAN | |
| 1902802176 | TN | -- |
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What is the unique 10-digit identifier code issued to Stacy Rebecca Conrad by the Centers for Medicare & Medicaid Services?
The Stacy Rebecca Conrad has been assigned the NPI (National Provider Identifier) 1902802176 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stacy Rebecca Conrad?
The Stacy Rebecca Conrad is physically situated at 8015 Mill Creek Rd, in the city of Signal Mountain, state of TN, with the postal code 373771734.
What is Stacy Rebecca Conrad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Rebecca Conrad's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When did the Stacy Rebecca Conrad receive its 1902802176?
The Stacy Rebecca Conrad was issued its 1902802176 on 2005-06-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Stacy Rebecca Conrad's details last updated?
The information pertaining to the Stacy Rebecca Conrad, including its address, specialty, and other details, was most recently updated on 2010-04-13.
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