NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

Dr JERRY N TIDWELL, OD – NPI #1013986603
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

Dr JERRY N TIDWELL, OD
610 HENSLEE DR
DICKSON, TN37055-1211
 Phone: 615-446-2020
 Fax: 615-441-2020
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Optometrist

152W00000X
Indicates primary specialty
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NPI Information for Dr JERRY N TIDWELL · (Male)

NPI Number 1013986603
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/16/2006
Last updated 07/08/2007 - About 7 years ago
Sole proprietor 1 No
Identifiers
TN License # OD0000000818
TN Medicaid 3595690
TN Medicare (Unspecified) 3595690
TN Medicare UPIN T61264
TN Other 3113993 BLUE CROSS BLUE SHIELD TN
TN Other 1250080001 MEDICARE DMERC
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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