Individual
DR. JAMES M JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
520 RIVERGATE PKWY, GOODLETTSVILLE, TN 37072-2030
(615) 859-3937
(615) 859-3919
Mailing address
900 CONFERENCE DR, STE 15B, GOODLETTSVILLE, TN 37072-1909
(615) 859-3937
(615) 859-3919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2275
TN
152W00000X
Optometrist
Primary
OD2275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4070788
BCBS OF TENNESSEE
TN
01
—
4076007
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
01
—
4194091
CIGNA HEALTHCARE
TN
Enumeration date
09/26/2006
Last updated
08/10/2021
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