Provider Demographics
NPI:1992921639
Name:BIERMAN WHITLEY & HUGHES PTRS
Entity type:Organization
Organization Name:BIERMAN WHITLEY & HUGHES PTRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE PERSONNEL
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-476-8614
Mailing Address - Street 1:312 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-2554
Mailing Address - Country:US
Mailing Address - Phone:901-476-8614
Mailing Address - Fax:901-475-1921
Practice Address - Street 1:312 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-2554
Practice Address - Country:US
Practice Address - Phone:901-476-8614
Practice Address - Fax:901-475-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4238890001Medicare NSC
TN3941851Medicare PIN