Prodigy Trust Company

LBN: Prodigy Trust Company
Prodigy Trust Company is an health care organization with primary practice located at 7640 Highway 70 S Ste 204, Nashville TN 37221-1758. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Prodigy Trust Company can be contacted via phone (615) 662-2800, or through Jessup, Jeffrey Carr via phone (615) 662-2800.

Contact Information

Primary practice address
7640 Highway 70 S Ste 204 Nashville TN 37221-1758
Phone: (615) 662-2800
Fax: (615) 662-0411
Website:
Map and Directions
Authorized official contact:
Name: Jessup, Jeffrey Carr Doctor of Optometry (OD)
Phone: (615) 662-2800

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODT000859 Tennessee

Profile Details

NPI number 1497915920
LBN Legal business name Prodigy Trust Company
DBA Doing business as
Authorized official Jessup, Jeffrey Carr Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497915920 NPPES
Tennessee MEDICAID 0047504
Tennessee Other 0792070001

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