Provider Demographics
NPI:1457555708
Name:CURREY FAMILY EYEWEAR
Entity Type:Organization
Organization Name:CURREY FAMILY EYEWEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURREY
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:901-752-1747
Mailing Address - Street 1:2201 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-4000
Mailing Address - Country:US
Mailing Address - Phone:901-758-1747
Mailing Address - Fax:
Practice Address - Street 1:1900 KIRBY PKWY
Practice Address - Street 2:SUITE 100A
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3610
Practice Address - Country:US
Practice Address - Phone:901-756-8220
Practice Address - Fax:901-756-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOD1392152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4000973OtherBLUE CROSS BLUE SHIELD