MEDICARE: CAILEY RUTH MOKRY OD

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	3905	TN

General Provider Information

NPI Number	:	1184461527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAILEY RUTH MOKRY OD

Provider Business Mailing Address
First Line	:	PO BOX 271520
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38167-1520
Country	:	US
Telephone Number	:	901-872-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	8120 US HIGHWAY 51 N STE 7
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1702
Country	:	US
Telephone Number	:	901-872-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	07/12/2024

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Directions to “ CAILEY RUTH MOKRY OD” Practice Location

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