Samuel Adam Phelps, O.D.
Optometrist in Henderson, TN. Individual provider (NPI-1).
NPI number1164651998
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1164651998
- Entity type
- Individual (NPI-1)
- Name
- Samuel Adam Phelps
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2009
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2957 | TN | Yes |
| 152W00000X | Optometrist | 0618001863 | VA |
Practice location
138 S Washington AveHenderson, TN 38340-2323
Phone 731-989-3511
Mailing address
668 Skyline DrJackson, TN 38301-3951
Phone 731-424-2414
Other practice locations
668 Skyline Dr
Jackson, TN 38301-3951
Jackson, TN 38301-3951
Phone 731-424-2414
1340 Union University Dr
Jackson, TN 38305-3780
Jackson, TN 38305-3780
Phone 731-424-2414
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Other Optometrist providers in Henderson, TN
- L. W. Bloomingburg, O.D.NPI 1770666349
- Henderson Family Eye Care, PLLCNPI 1376943563
- Karen Nicole Johnson, ODNPI 1316139017
- Phelps Eye Care, PLLCNPI 1134567845
- Stuart Douglas Rogers, O.D.NPI 1811959265
All 6 Optometrist providers in Henderson · All 145 providers in Henderson
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