Provider Demographics
NPI:1699975169
Name:NASH, MINDY GASTON (OD)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:GASTON
Last Name:NASH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:
Other - Last Name:GASTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:6670 CHARLOTTE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4202
Mailing Address - Country:US
Mailing Address - Phone:615-354-5113
Mailing Address - Fax:615-354-5114
Practice Address - Street 1:6670 CHARLOTTE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4202
Practice Address - Country:US
Practice Address - Phone:615-354-5113
Practice Address - Fax:615-354-5114
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2716152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist