NPI 1447568241 · live from the CMS NPI Registry
Laura L Dipuma, MD
Ophthalmology in Jackson, TN. National Provider Identifier 1447568241, active.
NPI record
| NPI | 1447568241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2027 Greystone Sq, Jackson, TN 38305 |
| Practice phone | 731-668-6882 |
| Mailing address | 569 Skyline Dr, Jackson, TN 38301 |
| Enumerated | September 15, 2010 |
| Last updated | September 15, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | MD0000026903 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.