Organization
THE EYE CLINIC OF GOODLETTSVILLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JUDD OD (OWNER)
(615) 859-1912
Entity
Organization
Contact information
Practice address
900 CONFERENCE DR STE 15B, GOODLETTSVILLE, TN 37072-1909
(615) 859-1912
Mailing address
900 CONFERENCE DR STE 15B, GOODLETTSVILLE, TN 37072-1909
(615) 859-1912
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467553867
NPI
TN
Enumeration date
07/01/2021
Last updated
07/01/2021
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