Individual
DR. MARTIN WILLIAM PAROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
455 VISTA DR, SPARTA, TN 38583-1360
(931) 836-6433
(931) 836-2753
Mailing address
455 VISTA DR, SPARTA, TN 38583-1360
(931) 836-6433
(931) 836-2753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2391
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3946561
—
TN
01
—
OD2391
OD LICENSE #
TN
Enumeration date
11/18/2005
Last updated
09/17/2008
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