TINA FLY (NPI# 1689027757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689027757 |
| Entity Type | Individual |
| Full Name | TINA FLY |
| Practice Address |
1016 W Poplar Ave Ste 112 Collierville TN 38017-2687 |
| Practice Telephone | 9018500811 |
| Mailing Telephone | 9018500811 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DPO482 | TN | Eye and Vision Services Providers |
| Street Address |
1016 W POPLAR AVE STE 112 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346395274 | Michael Eugene Mccarty | Optometrist | 1016 W Poplar Ave Ste 112, Collierville, TN 38017-2687 | 2007-01-23 |
| 1881738177 | Pearle Vision Center | Technician/Technologist | 1016 W Poplar Ave Ste 112, Collierville, TN 38017-2687 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881738177 | Pearle Vision Center | Technician/Technologist | 1016 W Poplar Ave Ste 112, Collierville, TN 38017-2687 | 2007-02-19 |
| 1134201023 | Wal-mart Stores East, Lp | Technician/Technologist | 560 W Poplar Ave, Collierville, TN 38017-6507 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164072575 | Rebecca Lee Redmond | Technician/Technologist | 40 Carroll St, Mc Kenzie, TN 38201-1736 | 2019-09-17 |
| 1932661758 | Miws, LLC | Technician/Technologist | 1110 Market St Ste 113, Chattanooga, TN 37402-2894 | 2019-04-01 |
| 1780157925 | Eye Centers of Tennessee, LLC | Technician/Technologist | 46 W Broad St, Cookeville, TN 38501-2572 | 2019-01-10 |
| 1831661206 | Eye Centers of Tennessee, LLC | Technician/Technologist | 8401 Tn-111, Byrdstown, TN 38549 | 2018-12-26 |
| 1952853947 | National Vision, Inc. | Technician/Technologist | 6634 Clinton Hwy, Ste 103, Knoxville, TN 37912-1016 | 2016-10-26 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1720531999 | National Vision, Inc. | Technician/Technologist | 2884 Wilma Rudolph Blvd, Clarksville, TN 37040-5001 | 2016-07-25 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1275988214 | National Vision, Inc. | Technician/Technologist | 165 N Peters Rd, Knoxville, TN 37923-4908 | 2016-04-27 |
| 1710332762 | National Vision, Inc. | Technician/Technologist | 4300 Summer Ave, Suite 101, Memphis, TN 38122-4000 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.