Individual
DR. MARY GRACE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8045 CLUB PKWY, CORDOVA, TN 38016-5977
(901) 758-1384
(901) 758-1394
Mailing address
8045 CLUB PKWY, CORDOVA, TN 38016-5977
(901) 758-1384
(901) 758-1394
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
1429
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240091
UNITED HEALTH CARE
TN
01
—
4092194
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/17/2006
Last updated
01/20/2016
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