Charles Retina Institute Pc

LBN: Charles Retina Institute Pc
Charles Retina Institute Pc is an health care organization with primary practice located at 1432 Kimbrough Rd , Germantown TN 38138-2405. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Charles Retina Institute Pc can be contacted via phone (901) 767-4499, or through Sheppard, Mary via phone (901) 767-4499.

Contact Information

Primary practice address
1432 Kimbrough Rd Germantown TN 38138-2405
Phone: (901) 767-4499
Fax: (901) 761-0727
Website:
Map and Directions
Authorized official contact:
Name: Sheppard, Mary
Phone: (901) 767-4499

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD8675 Tennessee

Profile Details

NPI number 1477556306
LBN Legal business name Charles Retina Institute Pc
DBA Doing business as
Authorized official Sheppard, Mary
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jan 31st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477556306 NPPES
Tennessee MEDICAID 3158650

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