Provider Demographics
NPI:1326592189
Name:ANTHONY V. PERRY O.D. & ASSOCIATES PLC
Entity Type:Organization
Organization Name:ANTHONY V. PERRY O.D. & ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATTY
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:615-865-6074
Mailing Address - Street 1:2257 WILMA RUDOLPH BLVD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6193
Mailing Address - Country:US
Mailing Address - Phone:931-919-2783
Mailing Address - Fax:931-919-2781
Practice Address - Street 1:2257 WILMA RUDOLPH BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6193
Practice Address - Country:US
Practice Address - Phone:931-919-2783
Practice Address - Fax:931-919-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty