Individual
JON C JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Mailing address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000002603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3946635
—
TN
01
—
4112806
BCBS
—
Enumeration date
06/13/2006
Last updated
07/08/2007
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