Shanks, Fred
Shanks, Fred is an sole proprietor health care provider with primary practice located at 412 Elysian Field Rd , Nashville TN 37211. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shanks, Fred can be contacted via phone (615) 834-8495.Contact Information
Primary practice address
412 Elysian Field Rd
Nashville TN 37211
Phone: (615) 834-8495
Fax: (615) 833-1143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 558 | Tennessee |
Profile Details
| NPI number | 1306991906 |
|---|---|
| LBN Legal business name | Shanks, Fred |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | May 16th, 2024 - about 6 months 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 | 1306991906 | NPPES |
| Tennessee | MEDICAID | 3593637A |
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