Provider Demographics
NPI:1629319710
Name:TRUICARE AND ASSOCIATES INC.
Entity Type:Organization
Organization Name:TRUICARE AND ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRULA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-224-3083
Mailing Address - Street 1:3078 MADDUX WAY
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-5119
Mailing Address - Country:US
Mailing Address - Phone:615-224-3083
Mailing Address - Fax:615-224-3084
Practice Address - Street 1:3078 MADDUX WAY
Practice Address - Street 2:SUITE 200A
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-5119
Practice Address - Country:US
Practice Address - Phone:615-224-3083
Practice Address - Fax:615-224-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN 1995152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G701356Medicare PIN