Individual
MICHAEL LEE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001423
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164251
BLUE CROSS BLUE SHIELD
TN
01
—
2240165
UNITED HEALTHCARE
TN
05
—
3598568
—
TN
01
—
6141
TLC MANAGED CARE SERVICES
TN
Enumeration date
02/05/2007
Last updated
12/11/2007
Update your record
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