Individual
DR. FRED SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
412 ELYSIAN FIELD RD, NASHVILLE, TN 37211
(615) 834-8495
(615) 833-1143
Mailing address
412 ELYSIAN FIELD RD, NASHVILLE, TN 37211
(615) 834-8495
(615) 833-1143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
558
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3593637A
—
TN
Enumeration date
01/24/2007
Last updated
05/16/2024
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