Provider Demographics
NPI:1053431205
Name:JAMES, CONNIE MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2126 ABBOTT MARTIN RD STE 109
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2609
Mailing Address - Country:US
Mailing Address - Phone:615-269-3500
Mailing Address - Fax:615-750-5943
Practice Address - Street 1:2126 ABBOTT MARTIN RD
Practice Address - Street 2:SUITE 109
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2609
Practice Address - Country:US
Practice Address - Phone:615-269-3500
Practice Address - Fax:615-750-5943
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT1706152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist