Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA FLY
Active Sole ProprietorTINA FLY is a Optician, Dispensing healthcare provider located in COLLIERVILLE, Tennessee. NPI 1689027757 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · COLLIERVILLE, TN
Registration Details
- NPI Number
- 1689027757
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2016 (10.049675874844 yrs)
- Last Updated
- Jul 13, 2016
- License
-
DPO482 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1016 W POPLAR AVE STE 112COLLIERVILLE, TN, 380172687Browse TN providers · Browse ZIP 38017
- Phone
- 9018500811
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in COLLIERVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MR. COURTNEY DESHUN AVERY | LDO | 1144968611 |
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.