Individual
MR. JAMES ALLEN YANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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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