John Robert Deharde O.D.

NPI 1699824326 - Optometrist - 152W00000X

NPI Details
NPI 1699824326
Gender Male
Enumeration Date 01/10/2007
Last Updated 07/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1880 N MAIN ST
SHELBYVILLE TN, 37160-2018, US
Phone (931) 680-3035
Business Location
PO BOX 1056
ANTIOCH TN, 37011-1056, US
Phone (931) 680-3035
Taxonomy Code 152W00000X
License State Tennessee
License Number OD1192
Remove 1699824326 NPI Number

According to our database, Dr. John Robert Deharde O.D. NPI is 1699824326, taxonomy code is 152W00000X and license number is OD1192, license state is located at Tennessee. John Robert Deharde O.D. physically located at 1880 N Main St, Shelbyville TN, 37160-2018. NPI Number John Robert Deharde O.D. has the Individual type.

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1699824326 NPI number is provided on an as is basis without warranty of any kind. 1699824326 is maintained by the National Plan & Provider Enumeration System. The contents of John Robert Deharde O.D. are for informational purposes only.