DR. MARY GRACE SUMMERS (NPI# 1780664706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780664706 |
| Entity Type | Individual |
| Full Name | DR. MARY GRACE SUMMERS |
| Credential | O.D. |
| Practice Address |
8045 Club Pkwy Cordova TN 38016-5977 |
| Practice Telephone | 9017581384 |
| Practice Fax Number | 9017581394 |
| Mailing Telephone | 9017581384 |
| Mailing Fax Number | 9017581394 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
1429 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4092194 | 01 |
| TN | UNITED HEALTH CARE | 2240091 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555657 | Mary Patricia Summers | Physical Therapist | 7315 Yorktowne Dr, Baltimore, MD 21204-7625 | 2019-02-28 |
| 1760868806 | Mary Summers | Pharmacist | 1815 Baldwin Ave, Ann Arbor, MI 48104-4446 | 2015-07-30 |
| 1841623444 | Mary E Summers | Rehabilitation Counselor | 4122 W 55th Place S., Suite 119, Tulsa, OK 74107-9108 | 2013-08-19 |
| 1811158017 | Mary Sue Summers | Veterinarian | 1628 S Post Rd, Midwest City, OK 73130-6602 | 2008-06-19 |
| 1316106008 | Mary Summers | Ophthalmology | 5000 Ambassador Caffery Pkwy Bldg 13, Lafayette, LA 70508-6984 | 2008-06-06 |
| 1619925054 | Mary K Summers | Psychologist | 8925 Broadway, Merrillville, IN 46410-7039 | 2006-05-05 |
| 1306453535 | Mary Summers | Homemaker | 409 Spring Ave, Moorefield, WV 26836-1036 | 2020-10-01 |
| 1619593639 | Mary Collette Summers | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-06-25 |
| 1063916625 | Mary Summers | Case Manager/Care Coordinator | 2600 Poplar Ave Ste 112, Memphis, TN 38112-3835 | 2018-03-20 |
| 1578997953 | Mary Frances Summers | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2013-08-21 |
| Street Address |
8045 CLUB PKWY |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405660 | Louis Henry Reiss | Family Medicine | 8045 Club Pkwy, Cordova, TN 38016-5977 | 2005-08-30 |
| 1194839241 | Methodist Healthcare Community Care Associates | Clinic/Center | 8045 Club Pkwy, Cordova, TN 38016-5977 | 2006-08-18 |
| 1316927494 | Jeffrey Lee Summers | Optometrist | 8045 Club Pkwy, Cordova, TN 38016-5977 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477501088 | Paula Johnson-wyatt | Optometrist | 1012 Greystone Square, Jackson, TN 38305 | 2006-05-05 |
| 1942801907 | Jacob Andrew Boehme | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2020-11-05 |
| 1689179939 | Caitlyn Suzanne Reynolds | Optometrist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3026 | 2018-03-28 |
| 1750818571 | Elizabeth Murray | Optometrist | 930 Madison Ave Ste 400, Memphis, TN 38103-7400 | 2017-05-11 |
| 1467550871 | Lori Ann F Kehler | Optometrist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2006-09-20 |
| 1164437836 | Angela Lee Ann Dabbs | Optometrist | 1760 W Morris Blvd, Morristown, TN 37813-2834 | 2006-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.