Tommy J. Ducklo, Od Pc

LBN: Tommy J. Ducklo, Od Pc
Tommy J. Ducklo, Od Pc is an health care organization with primary practice located at 2114 Elliston Pl , Nashville TN 37203-5238. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tommy J. Ducklo, Od Pc can be contacted via phone (615) 329-0000, or through Ducklo, Tommy J. via phone (615) 329-0000.

Contact Information

Primary practice address
2114 Elliston Pl Nashville TN 37203-5238
Phone: (615) 329-0000
Fax: (615) 327-2431
Website:
Map and Directions
Authorized official contact:
Name: Ducklo, Tommy J. Doctor of Optometry (OD)
Phone: (615) 329-0000

Health care specialties

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

Profile Details

NPI number 1578733481
LBN Legal business name Tommy J. Ducklo, Od Pc
DBA Doing business as
Authorized official Ducklo, Tommy J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2008
Last updated Aug 6th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578733481 NPPES
Tennessee MEDICAID 3942134

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