Provider Demographics
NPI:1073669347
Name:HAGGARD, JAMES EARL (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EARL
Last Name:HAGGARD
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:80 MONTCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3839
Mailing Address - Country:US
Mailing Address - Phone:731-664-6866
Mailing Address - Fax:731-664-0256
Practice Address - Street 1:2021 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-4918
Practice Address - Country:US
Practice Address - Phone:731-664-5655
Practice Address - Fax:731-664-0256
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1936152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist