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:
 

Specialty

Taxonomy

Optometrist

152W00000X
Indicates primary specialty
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NPI Information

NPI Number 1013986603
Credentials OD
Entity Individual
Enumeration date 03/16/2006
Last updated 07/08/2007
Sole proprietor 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

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