Provider Demographics
NPI:1245225655
Name:NORRIS, HUNTER W (MD)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:W
Last Name:NORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1538
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-1538
Mailing Address - Country:US
Mailing Address - Phone:931-393-2020
Mailing Address - Fax:931-455-6501
Practice Address - Street 1:1100 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-2336
Practice Address - Country:US
Practice Address - Phone:931-393-2020
Practice Address - Fax:931-455-6501
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21327207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3058304Medicaid
TN180012255OtherRAILROAD MEDICARE
TN180012255OtherRAILROAD MEDICARE
TNE75633Medicare UPIN
TN3000693Medicare PIN