Provider Demographics
NPI:1124005780
Name:CRANFORD, SCOTT F (OD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:F
Last Name:CRANFORD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7629 HIGHWAY 70 S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1706
Mailing Address - Country:US
Mailing Address - Phone:615-646-6330
Mailing Address - Fax:
Practice Address - Street 1:7629 HIGHWAY 70 S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1706
Practice Address - Country:US
Practice Address - Phone:615-646-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN415152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU01125Medicare UPIN
TN3592136Medicare ID - Type UnspecifiedMEDICARE NUMBER