Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY NEIL TIDWELL, OD
ActiveDR. JERRY NEIL TIDWELL, OD is a Optometrist healthcare provider located in DICKSON, Tennessee. NPI 1013986603 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DICKSON, TN
Registration Details
- NPI Number
- 1013986603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2006 (20.375668054523 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OD0000000818 (TN)
Practice Information
- Address
-
610 HENSLEE DRDICKSON, TN, 370551211Browse TN providers · Browse ZIP 37055
- Phone
- 6154462020
- Fax
- 6154412020
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DICKSON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. LORI A. WEISS | O.D. | 1265436083 |
| DR. DONALD L. WEISS JR. | O.D. | 1518961325 |
| JANNA SUZETTE SMITH | OD | 1083607279 |
| DR. DAVID HAROLD FAULKS | OD | 1982673935 |
| DR. BELINDA PATRICK | O.D. | 1255473070 |
| MR. DONALD G. DAVISSON | O.D. | 1407998636 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.