Provider Demographics
NPI:1710382452
Name:JOHN NEUHOFF III OD AND ASSOCIATES
Entity Type:Organization
Organization Name:JOHN NEUHOFF III OD AND ASSOCIATES
Other - Org Name:VISION 1ST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUHOFF
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:615-352-7241
Mailing Address - Street 1:68 WHITE BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1411
Mailing Address - Country:US
Mailing Address - Phone:615-352-7241
Mailing Address - Fax:
Practice Address - Street 1:68 WHITE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1411
Practice Address - Country:US
Practice Address - Phone:615-352-7241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT984152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT61325Medicare UPIN