Organization
JOEY SUMMERS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY SUMMERS (DOCTOR)
(615) 319-5630
Entity
Organization
Contact information
Practice address
1585 MALLORY LANE SUITE 104, BRENTWOOD, TN 37027
(615) 319-5630
Mailing address
1585 MALLORY LN STE 104, BRENTWOOD, TN 37027-3036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2150
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943591
—
TN
Enumeration date
10/19/2015
Last updated
04/22/2020
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