CORDOVA VISION CENTER (NPI# 1891947610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891947610 |
| Entity Type | Organization |
| Organization Name | CORDOVA VISION CENTER |
| Practice Address |
7865 Trinity Rd Suite 104 Cordova TN 38018-2273 |
| Practice Telephone | 9017537100 |
| Practice Fax Number | 9017533688 |
| Mailing Telephone | 9017537100 |
| Mailing Fax Number | 9017533688 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | DR. MARY JANE MAY-DACUS (PARTNER) |
| Authorized Official Telephone | 9017537100 |
| Authorized Official Credential | O. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE RAILROAD | P00683045 | 01 |
| Street Address |
7865 TRINITY RD SUITE 104 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467590794 | Luanne May Cox | Optometrist | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2273 | 2007-02-01 |
| 1013196294 | Lowery Optical | Technician/Technologist | 7865 Trinity Rd, Suite 101, Cordova, TN 38018-2273 | 2007-10-24 |
| 1528269909 | Melvin W Deweese | Ophthalmology | 7865 Trinity Rd, Suite 101, Cordova, TN 38018-2273 | 2007-05-31 |
| 1407994742 | Mary Jane May-dacus | Optometrist | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2273 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302854 | Donelson Eyecare, Pllc | Optometrist | 2378 Lebanon Pike, Nashville, TN 37214-2411 | 2007-02-13 |
| 1790823201 | Mary K Conway | Optometrist | 7600 H Kingston Pike, Knoxville, TN 37919-5604 | 2007-02-05 |
| 1538215777 | Kevin Lee Johnson | Optometrist | 2021 Church St Ste 300, Baptist Hospital, Medical Plaza 2, Nashville, TN 37203-2051 | 2007-01-27 |
| 1114085701 | Drs. Shields and Shields | Optometrist | 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 | 2006-12-05 |
| 1841381118 | Warwick C Dell | Optometrist | 8151 Hixson Pike, Hixson, TN 37343-1801 | 2006-09-28 |
| 1710991872 | Steven R. Shum | Optometrist | 2109 West St, Suite 1, Germantown, TN 38138-3837 | 2006-07-27 |
| 1831124353 | Tom Kevin Flowers | Optometrist | 189 W University Pkwy Ste D, Jackson, TN 38305-1671 | 2006-07-12 |
| 1609806637 | Lina M Desai | Optometrist | 11232 W Point Dr, Suite A, Knoxville, TN 37934-2837 | 2006-07-04 |
| 1558306043 | Turner Vision of Tennessee, Psc | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-06-18 |
| 1710920475 | Ultra Eyecare | Optometrist | 3460 Plaza Ave, Memphis, TN 38111-4614 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
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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.