Individual
MICHAEL LEE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
107 LEXINGTON PLZ, LEXINGTON, TN 38351-1505
(731) 968-2020
(731) 968-2866
Mailing address
PO BOX 419, LEXINGTON, TN 38351-0419
(731) 968-2020
(731) 968-2866
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
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