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Individual

DR. JEFFREY LEE SUMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8045 CLUB PKWY, CORDOVA, TN 38016-5977
(901) 758-1384
(901) 758-1394
Mailing address
8045 CLUB PKWY, CORDOVA, TN 38016-5977
(901) 758-1384
(901) 758-1394

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1428
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2240133
UNITED HEALTH CARE
TN
01
3107411
BLUE CROSS BLUE SHIELD
TN
05
3940127
TN
Enumeration date
01/17/2006
Last updated
01/20/2016
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