John J Maria Od Pc | |
1306 Donelson Pkwy, Dover, TN 37058-3753 | |
(931) 232-5118 | |
(931) 232-0581 |
Full Name | John J Maria Od Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1306 Donelson Pkwy, Dover, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275730343 | NPI | - | NPPES |
3945690 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1471 (Tennessee) | Primary |
Provider Name | John J Maria |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477586675 PECOS PAC ID: 4789679762 Enrollment ID: I20111013000492 |
Provider Name | Jonathan Routon |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336681766 PECOS PAC ID: 8628358439 Enrollment ID: I20161214001218 |
Mailing Address | Practice Location Address |
---|---|
John J Maria Od Pc Po Box 423, Dover, TN 37058-0423 Ph: (931) 232-5118 | John J Maria Od Pc 1306 Donelson Pkwy, Dover, TN 37058-3753 Ph: (931) 232-5118 |
Jonathan Routon, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1306 Donelson Pkwy, Dover, TN 37058 Phone: 931-232-5118 Fax: 931-232-0581 | |
John J Maria, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1306 Donelson Pkwy, Dover, TN 37058 Phone: 931-232-5118 Fax: 931-232-0581 |