Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul William Mallory, MD

Individual provider Ophthalmology Physician · NPI 1790149821

Paul William Mallory, MD is an Ophthalmology in Nashville, Tennessee. Graduated from Sanford School of Medicine of University of South Dakota in 2016, 10 years ago. Practices with Southeast Eye Specialists PLLC, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-1554
Phone: (615) 322-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 W 22nd St, Sioux Falls, SD 57105-1554 — (605) 357-1386

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 61001 (TN)
Ophthalmology Physician Taxonomy 207W00000X · Licence 61001 (TN)

Record details

NPI number1790149821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2016 (10 years in practice)
Group practice Southeast Eye Specialists Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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