Provider Demographics
NPI:1306823968
Name:CRANFORD, ANITA L (OD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:L
Last Name:CRANFORD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SUGARTREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3079
Mailing Address - Country:US
Mailing Address - Phone:615-790-1514
Mailing Address - Fax:615-790-1573
Practice Address - Street 1:400 SUGARTREE LN
Practice Address - Street 2:SUITE 500
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3079
Practice Address - Country:US
Practice Address - Phone:615-790-1514
Practice Address - Fax:615-790-1573
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2167152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN11465160OtherCAQH ID
TN3163626Medicaid
TN2240500OtherUNITED HEALTHCARE NUMBER
TN11465160OtherCAQH ID
TNU80626Medicare UPIN
TN2240500OtherUNITED HEALTHCARE NUMBER
TN6164810001Medicare PIN