DR. MARY GRACE SUMMERS O.D. NPI 1780664706

NPI Information

  • NPI: 1780664706
  • Provider Name: DR. MARY GRACE SUMMERS, O.D.
  • Classification: Optometrist - 152WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8045 CLUB PKWY
    CORDOVA, TN
    ZIP 38016
  • Phone: (901) 758-1384

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NPI Details

DR. Mary Grace Summers, O.D. is a pediatrics optometrist in Cordova, TN. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Mary Grace Summers, O.D. NPI is 1780664706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8045 CLUB PKWY
CORDOVA, TN
ZIP 38016-977
Phone: (901) 758-1384
Fax: (901) 758-1394

The NPI 1780664706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/17/2006 and was last updated on 1/20/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WP0200XOptometristPediatrics1429TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12240091OTHERTENNESSEEUNITED HEALTH CARE
24092194OTHERTENNESSEEBLUE CROSS BLUE SHIELD
33598531MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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: 11/21/2025

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