Individual
MR. JEFFREY C MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PC
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1024T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003853
BCBS
TN
01
—
3595873
MEDICARE TPAN
TN
05
—
3595873
—
TN
Enumeration date
11/02/2005
Last updated
11/21/2011
Update your record
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