Healthcare Provider Details

I. General information

NPI: 1114859477
Provider Name (Legal Business Name): TN DOCTORS OF OPTOMETRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 US HIGHWAY 51 STE 106/107
MILLINGTON TN
38053-1632
US

IV. Provider business mailing address

19100 RIDGEWOOD PKWY BLD 1 7TH FLOOR
SAN ANTONIO TX
78259-1834
US

V. Phone/Fax

Practice location:
  • Phone: 726-444-4172
  • Fax:
Mailing address:
  • Phone: 800-340-0129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DOLSIE MCDONALD
Title or Position: MANAGER
Credential:
Phone: 726-444-4078