Individual
ARTHUR H ELLIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
140 PEACHTREE PLZ, BROWNSVILLE, TN 38012-2500
(731) 772-2020
(731) 772-3954
Mailing address
140 PEACHTREE PLZ, BROWNSVILLE, TN 38012-2500
(731) 772-2020
(731) 772-3954
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000613
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149285
BLUECROSS BLUESHIELD
TN
05
—
3593820
—
TN
01
—
P00270315
RAILROAD MEDICARE
TN
Enumeration date
08/08/2006
Last updated
03/05/2008
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