Provider Demographics
NPI:1467002378
Name:JAW NASH, PLLC
Entity Type:Organization
Organization Name:JAW NASH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:251-213-2077
Mailing Address - Street 1:1651 SCHILLINGER RD N
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-7409
Mailing Address - Country:US
Mailing Address - Phone:251-213-2077
Mailing Address - Fax:251-375-0444
Practice Address - Street 1:1800 GALLERIA BLVD STE 2590
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6278
Practice Address - Country:US
Practice Address - Phone:251-213-2077
Practice Address - Fax:251-375-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty