Jerry Neil Tidwell (NPI# 1013986603, PAC ID# 1153438643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013986603 |
| PAC ID by PECOS | 1153438643 |
| Professional Enrollment ID | I20111118000454 |
| Full Name | Jerry Neil Tidwell |
| Organization Legal Name | DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC |
| Address |
610 Henslee Dr Dickson TN 37055-1211 |
| Phone Number | 6154462020 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5597886069 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 610 Henslee Dr, Dickson, TN 37055-1211 | 6154462020 | DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC |
| Organization Legal Name | DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Grant Allen | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| David Harold Faulks | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| Street Address |
610 HENSLEE DR |
| City | DICKSON |
| State | TN |
| Zip | 37055-1211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Grant Allen | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| David Harold Faulks | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Epley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 111 Hwy 70 E, Dickson, TN 37055 |
| Ron Nieberding | Psychologist, Clinical | 812 N Charlotte St, Dickson, TN 37055-1009 | |
| Lacie A Baker | Physician Assistant | Dickson Orthopaedic and Sports Medicine Pllc | 196 Hillview St, Dickson, TN 37055-1285 |
| Lucas Richie | Orthopedic Surgery | Dickson Orthopaedic and Sports Medicine Pllc | 196 Hillview St, Dickson, TN 37055-1285 |
| Jeffrey F Norton | Physician Assistant | Dickson Orthopaedic and Sports Medicine Pllc | 196 Hillview St, Dickson, TN 37055-1285 |
| Daniel J Adkisson | Physician Assistant | 219 Church St, Dickson, TN 37055-1303 | |
| Anthony Barry Harlow | Chiropractic | 207 Church St, Dickson, TN 37055-1303 | |
| Julie A Perrigin | Family Practice | Perrigin Medical Pllc | 219 Church St, Dickson, TN 37055-1303 |
| Stephanie Mouton Reed | Anesthesiology | Dickson Pain and Wellness Pllc | 7105 Ramsey Way, Dickson, TN 37055-1586 |
| James H Rubright | Hand Surgery | Tennessee Orthopaedic Alliance Pa | 7103 Ramsey Way, Dickson, TN 37055-1586 |
| Find all physicians in zip 37055 | |||
| City | DICKSON |
| Zip Code | 37055 |
| Specialty | OPTOMETRY |
| City + Specialty | DICKSON + OPTOMETRY |
Please comment or provide details below to improve the information on Jerry Neil Tidwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.