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Individual

MR. JAMES ALLEN YANDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1411 W MORRIS BLVD, MORRISTOWN, TN 37813-2828
(423) 587-3474
(423) 587-8735
Mailing address
PO BOX 425, GREENEVILLE, TN 37744-0425
(423) 638-4151
(423) 639-6861

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1396
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100022785
PHP
TN
01
3137807
BLUECROSS BLUESHIELD
TN
05
3137807
TN
01
702006494
CARITEN
TN
01
P00332301
MEDICARE RAILROAD
TN
Enumeration date
10/03/2006
Last updated
12/01/2014
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