Individual
DR. GREGORY WILLIAM COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0448280001
DMERC
TN
01
—
12642
HEALTHNET BLOCK
TN
01
—
1668918
CIGNA
TN
01
—
2240263
UNITED HEALTH CARE
TN
01
—
3052066
TN CARE SELECT
TN
05
—
3598283
—
TN
01
—
4052027
BC/BS GROUP
TN
01
—
7102000TN37130
BC/BS OF MICHIGAN
MI
01
—
9366060
PHCS
TN
Enumeration date
07/11/2006
Last updated
07/09/2007
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