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Individual

DR. STEVEN R. SHUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2109 WEST ST, SUITE 1, GERMANTOWN, TN 38138-3837
(901) 754-6020
(901) 754-9882
Mailing address
2109 WEST ST, SUITE 1, GERMANTOWN, TN 38138-3837
(901) 754-6020
(901) 754-9882

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
547
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0159021
BCBS OF TN PROVIDER ID
TN
01
2240152
UHC
TN
01
410010020
MEDICARE RR
TN
01
6172558
CIGNA
TN
Enumeration date
07/27/2006
Last updated
12/31/2014
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