Individual
DR. JOHN D DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
609 FILLMORE ST, CORINTH, MS 38834
(662) 286-5671
(662) 287-2222
Mailing address
609 FILLMORE ST, CORINTH, MS 38834
(662) 286-5671
(662) 287-2222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
501
MS
152W00000X
Optometrist
850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087924
—
MS
01
—
2230019
UNITED HEALTHCARE
MS
01
—
25487
SPECTERA
—
01
—
3014173
BCBSTN
TN
01
—
39653
DAVIS VISION
TN
01
—
4599113
MEDICAID
TN
01
—
6533
UNISON DAVIS VISION
TN
01
—
6924
MMC TLC
TN
01
—
919431
UAHC VESTICA
TN
01
—
P0024159
PALMETTO GBA RAILROAD
—
Enumeration date
10/23/2006
Last updated
07/28/2010
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