Organization
SIMMONS EYECARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY E. SIMMONS O.D. (MANAGING MEMBER)
(615) 594-2195
Entity
Organization
Contact information
Practice address
1334 N ELLINGTON PKWY, LEWISBURG, TN 37091-2218
(931) 359-3799
(931) 359-3780
Mailing address
1012 DUNROBIN DR, FRANKLIN, TN 37067-5699
(615) 594-2195
(931) 359-3780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2819
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001931
MEDICARE PTAN
TN
Enumeration date
12/11/2009
Last updated
12/11/2009
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