# DR. MARY K CONWAY

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

## Provider details

- **NPI number:** 1790823201
- **Gender:** F
- **Credential:** O. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | TN 1239 | TN | — |
| 152WP0200X | Pediatric Optometrist | TN 1239 | TN | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0175608 | BCBS OF TENNESSEE | TN |
| 01 | — | 54-19543 | AETNA | TN |