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Individual

DR. BERNARD C TEKIELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2501 21ST AVE S, NASHVILLE, TN 37212-5626
(615) 406-1571
(615) 859-3919
Mailing address
520 RIVERGATE PKWY, GOODLETTSVILLE, TN 37072-2030
(615) 859-3937
(810) 733-7141

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004224
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000060953
AL
01
2210338
UNITED HEALTHCARE
AL
01
410041318
MEDICARE TRAVELERS
AL
05
4799000
MI
05
4809545
MI
01
51060953TEK
BLUE CROSS BLUE SHIELD
AL
01
Z00115
VIVA HEALTH
AL
Enumeration date
05/23/2005
Last updated
12/04/2023
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