Provider Demographics
NPI:1417439027
Name:VISIONCARE OF BRENTWOOD INC.
Entity type:Organization
Organization Name:VISIONCARE OF BRENTWOOD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:TERRELL
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-373-8496
Mailing Address - Street 1:4761 ANDREW JACKSON PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1354
Mailing Address - Country:US
Mailing Address - Phone:615-891-1243
Mailing Address - Fax:615-891-1254
Practice Address - Street 1:780 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4527
Practice Address - Country:US
Practice Address - Phone:615-373-8496
Practice Address - Fax:615-373-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3041152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty