Organization
PASSONS EYE CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A. PASSONS MD (OWNER)
(901) 683-1112
Entity
Organization
Contact information
Practice address
909 RIDGEWAY LOOP RD, MEMPHIS, TN 38120-4016
(901) 683-1112
(901) 683-1174
Mailing address
909 RIDGEWAY LOOP RD, MEMPHIS, TN 38120-4016
(901) 683-1112
(901) 683-1174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TNOD641T
TN
207W00000X
Ophthalmology Physician
Primary
MD12831
TN
207W00000X
Ophthalmology Physician
MD36450
TN
207W00000X
Ophthalmology Physician
MD43481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30235062
—
TN
01
—
4176557
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
01/11/2008
Last updated
05/07/2008
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