Organization
FRED R SHANKS, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED RHEME SHANKS (PRES)
(615) 834-8495
Entity
Organization
Contact information
Practice address
412 ELYSIAN FIELDS RD, NASHVILLE, TN 37211-4211
(615) 834-8495
Mailing address
412 ELYSIAN FIELDS RD, NASHVILLE, TN 37211-4211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
558
TN
Other
Enumeration date
12/09/2011
Last updated
05/16/2024
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