Individual
DR. JOSEPH D WEATHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
218 VILLAGE SQ, SUITE 100, PLEASANT VIEW, TN 37146-7174
(931) 368-1014
(615) 731-8990
Mailing address
218 VILLAGE SQ, SUITE 100, PLEASANT VIEW, TN 37146-7174
(931) 368-1014
(615) 731-8990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT2430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3329158
AETNA
TN
01
—
3505772
AETNA
TN
05
—
3945856
—
TN
01
—
4066484
BCBS
TN
01
—
4066512
BCBS
TN
01
—
4082435
BCBS
TN
01
—
4092400
BCBS
TN
01
—
7668469
AETNA
TN
01
—
921647
BLOCK
TN
01
—
TN2430
EYEMED
TN
Enumeration date
10/27/2005
Last updated
12/22/2010
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