Provider Demographics
NPI:1245348580
Name:NEUHOFF, JOHN III (OD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:NEUHOFF
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:615-352-6168
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:615-352-6168
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT984152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0086616OtherBCBS
TN3596597Medicaid
3596597Medicare ID - Type Unspecified
TN0086616OtherBCBS
TN0249040001Medicare NSC