Provider Demographics
NPI:1437589165
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:OWNER / OPTOMETRY DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:V
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-865-8412
Mailing Address - Street 1:1764 GALLATIN PIKE N
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2122
Mailing Address - Country:US
Mailing Address - Phone:615-865-8412
Mailing Address - Fax:615-865-8470
Practice Address - Street 1:1764 GALLATIN PIKE N
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2122
Practice Address - Country:US
Practice Address - Phone:615-865-8412
Practice Address - Fax:615-865-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN3004152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty