Individual
MIKE HASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
605 MAIN ST N, CARTHAGE, TN 37030-1211
(615) 735-2020
(615) 735-9098
Mailing address
PO BOX 116, CARTHAGE, TN 37030-0116
(615) 735-2020
(615) 735-9098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040299
BLUE CROSS BLUE SHIELD
TN
05
—
3595240
—
TN
Enumeration date
05/10/2006
Last updated
07/22/2010
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