Provider Demographics
NPI:1841441862
Name:CONTACT LENS ASSOCIATES
Entity type:Organization
Organization Name:CONTACT LENS ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LDO700
Authorized Official - Phone:615-327-1614
Mailing Address - Street 1:2531 W END AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1423
Mailing Address - Country:US
Mailing Address - Phone:615-327-1614
Mailing Address - Fax:615-327-2413
Practice Address - Street 1:2531 W END AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1423
Practice Address - Country:US
Practice Address - Phone:615-327-1614
Practice Address - Fax:615-327-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN156FX1800X152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0103745OtherBLUE CROSS BLUE SHIELD