Organization
JAMES L DUCKLO OD
Active
Other names
James L Ducklo Od and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN WILLIAMS (OFFICE MANAGER)
(615) 731-6230
Entity
Organization
Contact information
Practice address
5252 HICKORY HOLLOW PKWY, SUITE 1133, ANTIOCH, TN 37013-3005
(615) 731-6230
(615) 731-6538
Mailing address
5252 HICKORY HOLLOW PKWY, SUITE 1133, ANTIOCH, TN 37013-3005
(615) 731-6230
(615) 731-6538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1233
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118062
BLUE CROSS BLUE SHIELD
TN
01
—
5697119
FIRST HEALTH
TN
01
—
TN1233
EYEMED
TN
Enumeration date
01/18/2007
Last updated
09/22/2009
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