DRS. Fortner and Yates
Organization Active NPI Optometrist · Trenton, TN
NPI 1114040409 · NPPES record last updated Jan 16, 2008
Key facts
- NPI
- 1114040409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- ODT435 AND ODT1590 (TN)
- Legal business name
- DRS. FORTNER AND YATES
- Practice address
- 107 E 1St St
Trenton, TN 38382-1841 - Phone
- (731) 855-0811
- Fax
- (731) 855-4725
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Alan Yates, O.D.
- Title
- Optometrist
- Phone
- (731) 855-0811
National Provider Directory
Locations
107 E 1st St
Trenton, TN 38382
Phone (731) 855-0811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | ODT435 AND ODT1590 | TN | Yes |
Addresses
Primary practice location
107 E 1St St
Trenton, TN 38382-1841
Mailing address
PO Box 88
Trenton, TN 38382-0088
Phone (731) 855-0811
Other providers in Trenton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2008. 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.