May-Dacus, Mary Jane

May-Dacus, Mary Jane is an individual health care provider with primary practice located at 7865 Trinity Rd Suite 104, Cordova TN 38018-2273. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. May-Dacus, Mary Jane can be contacted via phone (901) 753-7100.

Contact Information

Primary practice address
7865 Trinity Rd Suite 104 Cordova TN 38018-2273
Phone: (901) 753-7100
Fax: (901) 753-3688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1182 Tennessee

Profile Details

NPI number 1407994742
LBN Legal business name May-Dacus, Mary Jane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Apr 29th, 2009 - about 17 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 1407994742 NPPES
Tennessee Other P00460728 MEDICARE RAILROAD CARRIER
Tennessee Other 3079941 MEDICARE RAILROAD CARRIER

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