Organization
CORDOVA VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JANE MAY-DACUS O. D. (PARTNER)
(901) 753-7100
Entity
Organization
Contact information
Practice address
7865 TRINITY RD, SUITE 104, CORDOVA, TN 38018-2273
(901) 753-7100
(901) 753-3688
Mailing address
7865 TRINITY RD, SUITE 104, CORDOVA, TN 38018-2273
(901) 753-7100
(901) 753-3688
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00683045
MEDICARE RAILROAD
TN
Enumeration date
10/13/2008
Last updated
06/11/2009
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