Organization
DR. MIKE M SANDY, OPTOMETRIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE M SANDY OD (OWNER)
(901) 219-3453
Entity
Organization
Contact information
Practice address
3775 HACKS CROSS RD, MEMPHIS, TN 38125-2302
(901) 214-0065
(901) 214-0066
Mailing address
8405 SHADY ELM DR, CORDOVA, TN 38018-0437
(901) 219-3453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT2015
TN
Other
Enumeration date
05/10/2008
Last updated
05/10/2008
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