Iverson, Jared

Iverson, Jared is an individual health care provider with primary practice located at 3904 Hillsboro Pike , Nashville TN 37215-2717. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iverson, Jared can be contacted via phone (615) 292-2040.

Contact Information

Primary practice address
3904 Hillsboro Pike Nashville TN 37215-2717
Phone: (615) 292-2040
Fax: (615) 292-3478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2377 Tennessee

Profile Details

NPI number 1649335548
LBN Legal business name Iverson, Jared
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649335548 NPPES
Tennessee MEDICAID 3945663

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