Braswell, Cathy Lynn

Braswell, Cathy Lynn is an individual health care provider with primary practice located at 6479 Winchester Rd , Memphis TN 38115-4257. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Braswell, Cathy Lynn can be contacted via phone (901) 365-9732.

Contact Information

Primary practice address
6479 Winchester Rd Memphis TN 38115-4257
Fax: (901) 375-9005
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1377 Tennessee

Profile Details

NPI number 1386693117
LBN Legal business name Braswell, Cathy Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386693117 NPPES
Tennessee MEDICAID 21869
Tennessee Other 8839
Tennessee Other 0168181
Tennessee Other 9013659732

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