Individual
DR. JAMES H KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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