Individual
DR. JOSEPH J. DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
135 S Y SQ, SELMER, TN 38375-1739
(731) 645-5236
Mailing address
135 S Y SQ, P.O. BOX 269, SELMER, TN 38375-1739
(731) 645-5236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
570
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007177
BLUE CROSS BLUE SHIELD TN
TN
05
—
3593361
—
TN
Enumeration date
04/06/2007
Last updated
02/25/2008
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