Individual
DR. ZACHARY PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2498
OK
152W00000X
Optometrist
Primary
2692
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4157039
BLUE CROSS BLUE SHIELD TN
TN
01
—
P00914239
MEDICARE RAILROAD
TN
Enumeration date
08/04/2006
Last updated
02/08/2012
Update your record
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