Individual
DR. DARWIN L MORMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TOD 477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4050772
BLUE CROSS BLUE SHIELD
TN
01
—
EE26088
VISION CARE
—
Enumeration date
10/19/2006
Last updated
05/24/2021
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