Provider Demographics
NPI:1205446333
Name:STRUMPFLER, ALYSSA (OD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:STRUMPFLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 LUMSDEN CIR W APT 204
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-1290
Mailing Address - Country:US
Mailing Address - Phone:727-729-9363
Mailing Address - Fax:
Practice Address - Street 1:8350 US HIGHWAY 64 STE 101
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-4112
Practice Address - Country:US
Practice Address - Phone:901-498-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3643152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist