Individual
ROBERT STOKES PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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