Organization
OPTOMETRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY N HINES O.D. (PARTNER)
(901) 458-2020
Entity
Organization
Contact information
Practice address
3445 POPLAR AVE, SUITE 7, MEMPHIS, TN 38111-4667
(901) 458-2020
(901) 458-2099
Mailing address
3445 POPLAR AVE, SUITE 7, MEMPHIS, TN 38111-4667
(901) 458-2020
(901) 458-2099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0784010001
DMERC REGION C PALMETTO GBA
TN
Enumeration date
05/24/2006
Last updated
08/03/2015
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