Individual
DR. TONYA MICHELLE REYNOLDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000002255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01038894
AMERIGROUP
TN
01
—
200721045
BOILERMAKERS
TN
05
—
3719356
—
TN
01
—
4063366
BLUE CROSS BLUE SHIELD
TN
01
—
7536377
AETNA
TN
01
—
TN0255
VISION BENEFITS OF AMERIC
TN
01
—
TN2255
EYEMED
TN
Enumeration date
08/18/2005
Last updated
08/27/2020
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