Individual
DR. PATRICK DANIEL SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202806144
VSP
TN
01
—
2553033 01
UNITED HEALTHCARE
TN
05
—
3946409
—
TN
01
—
4097286
BLUE CROSS
TN
01
—
51848
DAVIS VISION
TN
01
—
702040660
CARITEN
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
06/23/2006
Last updated
08/19/2024
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