Summers, Jeffrey Lee

Summers, Jeffrey Lee is an sole proprietor health care provider with primary practice located at 8045 Club Pkwy , Cordova TN 38016-5977. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Summers, Jeffrey Lee can be contacted via phone (901) 758-1384.

Contact Information

Primary practice address
8045 Club Pkwy Cordova TN 38016-5977
Fax: (901) 758-1394
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1428 Tennessee

Profile Details

NPI number 1316927494
LBN Legal business name Summers, Jeffrey Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jan 20th, 2016 - about 10 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 1316927494 NPPES
Tennessee Other 2240133 UNITED HEALTH CARE
Tennessee MEDICAID 3940127 UNITED HEALTH CARE
Tennessee Other 3107411 UNITED HEALTH CARE

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