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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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