# STEVEN R. SHUM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932395506
- **Authorized official:** MRS. BRISTER B SHUM (BUSINESS MANAGER)
- **Authorized official phone:** (901) 754-6020

## Contact information

- **Practice address:** 2109 WEST ST, SUITE 1, GERMANTOWN, TN 38138-3837
- **Practice address phone:** (901) 754-6020
- **Practice address fax:** (901) 754-9882
- **Mailing address:** 2109 WEST ST, SUITE 1, GERMANTOWN, TN 38138-3837
- **Mailing address phone:** (901) 754-6020
- **Mailing address fax:** (901) 754-9882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 547 | TN | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 01/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0159021 | BLUE CROSS BLUE SHIELD | TN |
| 01 | — | 2240152 | UNITED HEALTH CARE | TN |
| 01 | — | 6172558 | CIGNA | TN |