Corry, James E

Corry, James E is an individual health care provider with primary practice located at 2500 Martin Luther King Jr Blvd , Panama City FL 32405-4412. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Corry, James E can be contacted via phone (850) 784-3937.

Contact Information

Primary practice address
2500 Martin Luther King Jr Blvd Panama City FL 32405-4412
Phone: (850) 784-3937
Fax: (850) 522-9829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP 1145 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OP 1145 Florida

Profile Details

NPI number 1366467417
LBN Legal business name Corry, James E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 9th, 2008 - about 16 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 1366467417 NPPES
Florida Other 19116 BLUE CROSS & BLUE SHIELD
Florida Other 19116E BLUE CROSS & BLUE SHIELD
Florida Other 410042391 BLUE CROSS & BLUE SHIELD
Florida MEDICAID 078236000 BLUE CROSS & BLUE SHIELD

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