MEDICARE: CAMDEN EYE CARE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OD0000002255	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00193746-DC310	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50537	OTHER	TN	DAVIS VISION
2	7536377	OTHER	TN	AETNA
3	11494632	OTHER	TN	UNITED HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1012691-0556551	OTHER	TN	BLOCKVISION
6	4076769	OTHER	TN	TENNCARE SELECT
7	50537	OTHER	TN	BETTERHEALTH
8	4076769	OTHER	TN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1609868363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMDEN EYE CARE ASSOCIATES

Provider Business Mailing Address
First Line	:	264 HIGHWAY 641 N
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1329
Country	:	US
Telephone Number	:	731-584-7942
Fax Number	:	731-584-7965

Provider Business Practice Location Address
First Line	:	264 HIGHWAY 641 N
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1329
Country	:	US
Telephone Number	:	731-584-7942
Fax Number	:	731-584-7965

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. TONYA M REYNOLDSON
Credential	:	OD
Telephone Number	:	731-584-7942

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	08/27/2020

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Directions to “CAMDEN EYE CARE ASSOCIATES ” Practice Location

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