Individual
DR. JEREMY LEN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
741 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4907
(865) 475-8680
(865) 475-8681
Mailing address
PO BOX 247, JEFFERSON CITY, TN 37760-0247
(865) 475-8680
(865) 475-8681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2748
TN
Other
Enumeration date
06/28/2007
Last updated
03/24/2016
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