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DRS. TIDWELL FAULKS AND ALLEN - OPTOMETRY PLLC NPI 1194920967


NPI Information

NPI: 1194920967
Provider Name: DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC

Former Legal Business Name: TIDWELL AND FAULKS, DOCTORS OF OPTOMETRY, PLC

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 44D2119417

Address:
610 HENSLEE DR
DICKSON, TN
ZIP 37055
Phone: (615) 446-2020
Get Directions

DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC is an optometrist in Dickson, TN. The provider is 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC NPI is 1194920967. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tidwell And Faulks, Doctors Of Optometry, Plc.

The provider's business location address is:

610 HENSLEE DR
DICKSON, TN
ZIP 37055-211
Phone: (615) 446-2020
Fax: (615) 441-2020

The provider's authorized official is Jamie Leigh Miller .
The authorized official title is Certified Insurance Tech And Data E and has the following contact phone number (615) 446-2020.

The CLIA number assigned to this NPI record is 44D2119417 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13113988OTHERTENNESSEETIDWELL AND FAULKS BCBST
23119266OTHERTENNESSEEDR DAVID FAULKS BCBST
36022728OTHERTENNESSEEDR ALLEN BCBST
4Q007418MEDICAIDTENNESSEE
53113993OTHERTENNESSEEDR JERRY TIDWELL BCBST
63942446MEDICAIDTENNESSEE
73595699MEDICAIDTENNESSEE
83595690OTHERTENNESSEEMEDICARE JERRY TIDWELL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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