Individual
MR. JEFFREY C MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
1132 W CLARK BLVD, SUITE B, MURFREESBORO, TN 37129-2381
(615) 893-0149
(615) 849-9062
Mailing address
1132 W CLARK BLVD, SUITE B, MURFREESBORO, TN 37129-2381
(615) 893-0149
(615) 849-9062
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
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