Robert S. Enfinger, DISPENSING OPTICIAN
Individual provider Active NPI Optician · White House, TN
NPI 1104680347 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1104680347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- DPO3107 (TN)
- Practice address
- 2944 Highway 31 W Ste 101
White House, TN 37188-3003 - Phone
- (615) 581-8907
- NPI assigned
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPO3107 | TN | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E & E Eyecare LLC | Technician/Technologist | Current |
Accepting new patients |
Locations
2944 Highway 31 W
Ste 101
White House, TN 37188
Phone (615) 581-8907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | DPO3107 | TN | |
| Optician | 156FX1800X | DPO3107 | TN | Yes |
Addresses
Primary practice location
2944 Highway 31 W Ste 101
White House, TN 37188-3003
Mailing address
2944 Highway 31 W Ste 101
White House, TN 37188-3003
Phone (615) 581-8907
Other providers in White House, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.