Organization
.JESSUP EYE CARE, INC
Active
Other names
Thompson Lane Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARR JESSUP O.D. (OWNER)
(615) 513-0385
Entity
Organization
Contact information
Practice address
181 THOMPSON LN, NASHVILLE, TN 37211-2411
(615) 333-1717
(615) 333-9245
Mailing address
7640 HIGHWAY 70 S, SUITE 204, NASHVILLE, TN 37221-1758
(615) 662-2800
(615) 662-0411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT000859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0792070001
MEDICARE DMERC
TN
01
—
4932109
CIGNA
TN
Enumeration date
02/22/2008
Last updated
05/16/2008
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