# DR. MARY GRACE SUMMERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780664706
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WP0200X | Pediatric Optometrist | 1429 | TN | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 01/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2240091 | UNITED HEALTH CARE | TN |
| 01 | — | 4092194 | BLUE CROSS BLUE SHIELD | TN |