Individual
DR. JOHN MICHAEL CONDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6719 MAYNARDVILLE HWY, KNOXVILLE, TN 37918-5348
(865) 922-3937
(865) 922-8412
Mailing address
6719 MAYNARDVILLE HWY, KNOXVILLE, TN 37918-5348
(865) 922-3937
(865) 922-8412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TOD451
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12763
SPECTERA
TN
01
—
2240322
UNITED HEALTHCARE
TN
01
—
3032278
BCBST
TN
05
—
3032278
—
TN
01
—
4833
DAVIS VISION
TN
Enumeration date
05/15/2006
Last updated
05/04/2009
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