Individual
DR. CHARLES GARRY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3343675
AETNA
TN
01
—
3343678
AETNA
TN
01
—
3412976
AETNA
TN
01
—
3468268
AETNA
TN
05
—
3597679
—
TN
01
—
4061254
BCBS
TN
01
—
4061289
BCBS
TN
01
—
4061332
BCBS
TN
01
—
4061401
BCBS
TN
01
—
4082418
BCBS
TN
01
—
4092009
BCBS
TN
01
—
910689
BLOCK
TN
01
—
TN1301
EYEMED
TN
Enumeration date
10/27/2005
Last updated
07/13/2015
Update your record
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