Herman L Tacker O.D.

NPI 1033157763 - Optometrist - 152W00000X

NPI Details
NPI 1033157763
Gender Male
Enumeration Date 06/03/2006
Last Updated 12/10/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
3445 POPLAR AVE
SUITE #7
MEMPHIS TN, 38111-4667, US
Phone (901) 458-2020
Fax (901) 458-2099
Business Location
3445 POPLAR AVE
SUITE #7
MEMPHIS TN, 38111-4667, US
Phone (901) 458-2020
Fax (901) 458-2099
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number 409T
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According to our database, Dr. Herman L Tacker O.D. NPI is 1033157763, taxonomy code is 152W00000X and license number is 409T, license state is located at Tennessee. Herman L Tacker O.D. physically located at 3445 Poplar Ave, Memphis TN, 38111-4667. NPI Number Herman L Tacker O.D. has the Individual type.

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1033157763 NPI number is provided on an as is basis without warranty of any kind. 1033157763 is maintained by the National Plan & Provider Enumeration System. The contents of Herman L Tacker O.D. are for informational purposes only.