Condry, John Michael

Condry, John Michael is an sole proprietor health care provider with primary practice located at 6719 Maynardville Hwy , Knoxville TN 37918-5348. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Condry, John Michael can be contacted via phone (865) 922-3937.

Contact Information

Primary practice address
6719 Maynardville Hwy Knoxville TN 37918-5348
Phone: (865) 922-3937
Fax: (865) 922-8412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TOD451 Tennessee

Profile Details

NPI number 1184675811
LBN Legal business name Condry, John Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated May 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184675811 NPPES
Tennessee Other 2240322 UNITED HEALTHCARE
Tennessee Other 3032278 UNITED HEALTHCARE
Tennessee Other 4833 UNITED HEALTHCARE
Tennessee MEDICAID 3032278 UNITED HEALTHCARE
Tennessee Other 12763 UNITED HEALTHCARE

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