Collins, Charles Garry
Collins, Charles Garry is an individual health care provider with primary practice located at 115 Penn Warren Dr Suite 450, Brentwood TN 37027-5047. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Collins, Charles Garry can be contacted via phone (615) 447-9850.Contact Information
Primary practice address
115 Penn Warren Dr Suite 450
Brentwood TN 37027-5047
Phone: (615) 447-9850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT1301 | Tennessee |
Profile Details
| NPI number | 1861482093 |
|---|---|
| LBN Legal business name | Collins, Charles Garry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 13th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861482093 | NPPES |
| Tennessee | Other | 3343678 | AETNA |
| Tennessee | Other | 4082418 | AETNA |
| Tennessee | Other | 3412976 | AETNA |
| Tennessee | Other | 3468268 | AETNA |
| Tennessee | MEDICAID | 3597679 | AETNA |
| Tennessee | Other | 4061254 | AETNA |
| Tennessee | Other | 4061289 | AETNA |
| Tennessee | Other | 4092009 | AETNA |
| Tennessee | Other | 3343675 | AETNA |
| Tennessee | Other | 4061401 | AETNA |
| Tennessee | Other | 4061332 | AETNA |
| Tennessee | Other | TN1301 | AETNA |
| Tennessee | Other | 910689 | AETNA |
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