Individual
DR. JAMES H KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
502 W MAIN ST, WAVERLY, TN 37185-1407
(931) 296-2747
(931) 296-2749
Mailing address
502 W MAIN ST, WAVERLY, TN 37185-1407
(931) 296-2747
(931) 296-2749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000771
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017482
BLUECROSS BLUESHIELD TN
TN
01
—
0742010001
MEDICARE DMERC
TN
05
—
3594663
—
TN
01
—
410001341
MEDICARE RAILROAD CARRIER
TN
Enumeration date
09/27/2006
Last updated
11/10/2009
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