Individual
DR. CHARLES GARRY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
115 PENN WARREN DR, SUITE 450, BRENTWOOD, TN 37027-5047
(615) 447-9850
Mailing address
409 ROYAL XING, FRANKLIN, TN 37064-8909
(615) 731-8900
(615) 731-8990
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
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