Individual
DR. JOHN MICHAEL CONDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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