Provider Demographics
NPI:1194756577
Name:PATTERSON, ROBERT STOKES (OD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:STOKES
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5958 SNOW HILL RD, STE144
Mailing Address - Street 2:#105
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-7834
Mailing Address - Country:US
Mailing Address - Phone:423-582-8577
Mailing Address - Fax:423-619-7485
Practice Address - Street 1:7725 PEPPERTREE DR # 105
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-1429
Practice Address - Country:US
Practice Address - Phone:423-582-8577
Practice Address - Fax:423-619-7485
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1612152W00000X
GAOPT002126152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00258494OtherRAILROAD MEDICARE PROV #
TN4125087OtherBCBS & TNCARE SELECT #
TN3941325Medicaid
TN4130051OtherTENNCARE SELECT PROV #
GA52049272001OtherBCBS PROVIDER NUMBER
103I419668OtherMEDICARE PTAN
GA52049272001OtherBCBS PROVIDER NUMBER
GA265298982AMedicaid
GA265298982AMedicaid