Organization
JOHN J MARIA OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARIA O.D. (OWNER)
(931) 232-5118
Entity
Organization
Contact information
Practice address
1306 DONELSON PKWY, DOVER, TN 37058-3753
(931) 232-5118
(931) 232-0581
Mailing address
PO BOX 423, DOVER, TN 37058-0423
(931) 232-5118
(931) 232-0581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3945690
—
TN
Enumeration date
06/30/2007
Last updated
05/08/2008
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