Healthcare Provider Details

I. General information

NPI: 1174454912
Provider Name (Legal Business Name): CAMERON ELIZABETH DUNN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

773 ESTATE PL
MEMPHIS TN
38120-0600
US

IV. Provider business mailing address

773 ESTATE PL
MEMPHIS TN
38120-0600
US

V. Phone/Fax

Practice location:
  • Phone: 901-681-4040
  • Fax: 901-681-4052
Mailing address:
  • Phone: 901-681-4040
  • Fax: 901-681-4052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4014
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: