Provider Demographics
NPI:1144517079
Name:COUTS, ADAM (OD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:COUTS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 LONE OAK DR
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3694
Mailing Address - Country:US
Mailing Address - Phone:615-452-1602
Mailing Address - Fax:615-451-0139
Practice Address - Street 1:854 LONE OAK DR
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3694
Practice Address - Country:US
Practice Address - Phone:615-452-1602
Practice Address - Fax:615-451-0139
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2975152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist