Individual
JOHN HENRY GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
135 W RAVINE RD, SUITE 2C, KINGSPORT, TN 37660-3847
(423) 246-7372
(423) 578-4369
Mailing address
135 W RAVINE RD, SUITE 2C, KINGSPORT, TN 37660-3847
(423) 246-7372
(423) 578-4369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000881
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD0000000881
OD LICENSE
TN
Enumeration date
02/02/2011
Last updated
02/02/2011
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