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Individual

DR. WILLIAM L JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000965
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831101856
MEDICARE NPI
TN
01
6129760001
MEDICARE PTAN
TN
01
IB0062094
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
08/12/2006
Last updated
12/16/2020
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