Provider Demographics
NPI:1114186624
Name:BILLS, REBECCA L (OD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:L
Last Name:BILLS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1795 N GERMANTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5092
Mailing Address - Country:US
Mailing Address - Phone:901-737-1333
Mailing Address - Fax:901-473-1723
Practice Address - Street 1:1795 N GERMANTOWN PKWY
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016
Practice Address - Country:US
Practice Address - Phone:901-737-1333
Practice Address - Fax:901-473-1723
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN2740152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist