Organization
CUMBERLAND PROSTHETICS, INC
Active
Other names
Richardson Ocular Prosthetic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY A RICHARDSON BCO, BADO (OWNER)
(615) 321-5611
Entity
Organization
Contact information
Practice address
329 21ST AVE N STE 2, NASHVILLE, TN 37203-1855
(615) 321-5611
(615) 327-3871
Mailing address
329 21ST AVE N STE 2, NASHVILLE, TN 37203-1855
(615) 321-5611
(615) 327-3871
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455015
—
TN
Enumeration date
04/25/2006
Last updated
02/01/2019
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