Individual
DR. JEREMY CHRISTOPHER SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 PLEASANT GROVE RD, BLDG 600, MOUNT JULIET, TN 37122-3785
(615) 773-5773
(615) 773-5529
Mailing address
327 WINDHAVEN BAY, MOUNT JULIET, TN 37122-6912
(615) 491-4245
(615) 832-4321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4019025
BCBS
TN
Enumeration date
11/09/2005
Last updated
08/21/2022
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