Stan Jordan Whitley is a Covington, Tennessee based male Optometrist with 41 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1983. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Stan Jordan Whitley is 909T for Optometry in Tennessee. Stan Jordan Whitley examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Stan Jordan Whitley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
41+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1983
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
312 South Main St, Covington, Tennessee, 38019
Phone:
901-476-8614
Fax:
901-475-1921
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032226667
Enrollment ID:
I20120113000602
NPI Number:
1568570232
NPI Enumeration Date:
25 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stan Jordan Whitley are as mentioned below.
License Number
Specialization
State
Status
909T
Optometry
Tennessee
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Stan Jordan Whitley has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bierman Whitley And Hughes Ptrs (1557573722)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Stan Jordan Whitley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2002815
Other
BCBS
3941840
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
312 South Main St, Covington, Tennessee
Zip:
38019
Phone Number:
901-476-8614
Fax Number:
901-475-1921
Patients can reach Stan Jordan Whitley at 312 South Main St, Covington, Tennessee or can call to book an appointment on 901-476-8614. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.