Cordova Vision Center

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

CORDOVA VISION CENTER

Practice address

7865 Trinity Rd
Suite 104
Cordova, TN 38018-2273

Phone

(901) 753-7100

Fax

(901) 753-3688

NPI assigned

Oct 13, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Jane May-Dacus, O. D.

Title

Partner

Phone

(901) 753-7100

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1891947610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 TRINITY RD",
            "address_2": "SUITE 104",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182273",
            "telephone_number": "901-753-7100",
            "fax_number": "901-753-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 TRINITY RD",
            "address_2": "SUITE 104",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182273",
            "telephone_number": "901-753-7100",
            "fax_number": "901-753-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "MAY-DACUS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-753-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00683045",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cordova Operating Group LLC
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• Cordova Psychiatric Associates
• Cordova Senior Living, LLC
• Core Ordinates
• Annie Cornell, CCC-SLP
• Cornerstone Caregiving East LLC
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• All providers in Cordova, TN
• Corneal and Contact Management Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.