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Individual

ROBERT STOKES PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7725 PEPPERTREE DR # 105, OOLTEWAH, TN 37363-1429
(423) 582-8577
(423) 619-7485
Mailing address
5958 SNOW HILL RD, STE144, #105, OOLTEWAH, TN 37363-7834
(423) 582-8577
(423) 619-7485

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1612
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103I419668
MEDICARE PTAN
05
3941325
TN
01
4125087
BCBS & TNCARE SELECT #
TN
01
4130051
TENNCARE SELECT PROV #
TN
01
52049272001
BCBS PROVIDER NUMBER
GA
01
P00258494
RAILROAD MEDICARE PROV #
TN
Enumeration date
07/05/2006
Last updated
11/05/2025
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