Joey Summers Optical

LBN: Joey Summers Optical
Joey Summers Optical is an health care organization with primary practice located at 1585 Mallory Lane Suite 104 , Brentwood TN 37027. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Joey Summers Optical can be contacted via phone (615) 319-5630, or through Summers, Joey via phone (615) 319-5630.

Contact Information

Primary practice address
1585 Mallory Lane Suite 104 Brentwood TN 37027
Fax:
Website:
Authorized official contact:
Name: Summers, Joey

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2150 Tennessee

Profile Details

NPI number 1376914150
LBN Legal business name Joey Summers Optical
DBA Doing business as
Authorized official Summers, Joey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2015
Last updated Apr 22nd, 2020 - about 6 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 1376914150 NPPES
Tennessee MEDICAID 3943591

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