Provider Demographics
NPI:1760416036
Name:WRIGHT, DONALD P (OD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:145 KENNEDY DR STE A
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-3341
Mailing Address - Country:US
Mailing Address - Phone:731-587-2020
Mailing Address - Fax:731-587-4015
Practice Address - Street 1:145 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-3340
Practice Address - Country:US
Practice Address - Phone:731-587-2020
Practice Address - Fax:731-587-4015
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOD-509 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0362490001Medicare NSC
TN3593095Medicare PIN
TNU-01696Medicare UPIN