Individual
MICHAEL R POLITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
144 TIMBERLINE DR, FRANKLIN, TN 37069-7170
(615) 330-3895
Mailing address
144 TIMBERLINE DR, FRANKLIN, TN 37069-7170
(615) 330-3895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD000000538
TN
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OD000000538
TN
152WV0400X
Vision Therapy Optometrist
OD000000538
TN
152WX0102X
Occupational Vision Optometrist
OD000000538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240252
UNITED HEALTHCARE
TN
05
—
35900561
—
TN
01
—
410048955
RAILROAD MEDICARE
TN
01
—
4176259
BLUE CROSS BLUE SHIELD
TN
01
—
4247110001
PALMETTO GBA
TN
Enumeration date
08/31/2005
Last updated
03/17/2018
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