James L Ducklo is a Optometrist in Antioch, Tennessee. James L Ducklo practices all healthcare services and medical treatments related to Optometrist. The NPI Number for James L Ducklo is 1194764365. The last update date is 2009-09-22.
James L Ducklo's current location address is 5252 Hickory Hollow Pkwy, Antioch, Tennessee. You can contact this provider via phone number 6157316230 and fax number 6157316538. The mailing address for James L Ducklo is 5252 Hickory Hollow Pkwy, Antioch, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James L Ducklo |
|---|---|
| Address | 5252 Hickory Hollow Pkwy, Antioch, Tennessee |
| Phone Number | 6157316230 |
| Fax Number | 6157316538 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1194764365 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2009-09-22 |
Provider Mailing Address Detail
| Address | 5252 Hickory Hollow Pkwy |
|---|---|
| City | Antioch |
| State | Tennessee (TN) |
| Post Code | 370133005 |
| Phone Number | 6157316230 |
| Fax Number | 6157316538 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT 1233 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 621429478 | TN | PRIVATE HEALTH CARE SYSTE | |
| 621429478 | TN | UNITED HEALTHCARE | |
| 621429478 | TN | PRINCIPAL | |
| 3597450 | TN | -- | |
| 118062 | TN | BLUE CROSS BLUE SHIELD | |
| 621429478 | TN | SUPERIOR |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James L Ducklo by the Centers for Medicare & Medicaid Services?
The James L Ducklo has been issued the NPI (National Provider Identifier) 1194764365 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where James L Ducklo's facilities are geographically located?
The facilities of James L Ducklo are physically situated at the following location: 5252 Hickory Hollow Pkwy, Antioch, TN, 370133005.
What is James L Ducklo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James L Ducklo is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When did the James L Ducklo receive its 1194764365?
The James L Ducklo was issued its 1194764365 on 2006-06-05, which is the date when the organization was assigned this unique identifier.
When was the information regarding James L Ducklo most recently updated?
The details pertaining to the James L Ducklo, including its address, specialty, and other relevant information, were last refreshed on 2009-09-22.