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Contact Information

CHARLES A RICE, OD
207 WEST STATE LINE
SOUTH FULTON, TN38257
 Phone: 731-479-1334
 Fax: 731-479-1334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHARLES A RICE · (Male)

NPI Number 1740268531
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/03/2006
Last updated 11/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 0831DT
  • TN License # 0662
  • Other 410047175 RAILROAD MEDICARE
  • KY Other 77008316 KY MEDICAID
  • TN Other 0073836 BCBS TN
Hospital affiliation(s) Not Available
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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