Organization
TOMMY J. DUCKLO, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY J. DUCKLO OD (PRESIDENT)
(615) 329-0000
Entity
Organization
Contact information
Practice address
2114 ELLISTON PL, NASHVILLE, TN 37203-5238
(615) 329-0000
(615) 327-2431
Mailing address
2114 ELLISTON PL, NASHVILLE, TN 37203-5238
(615) 329-0000
(615) 327-2431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3942134
—
TN
Enumeration date
03/06/2008
Last updated
08/06/2014
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