Provider Demographics
NPI:1912995481
Name:HUNT, JOHN M (OD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:HUNT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1798 ROANE STATE HWY
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8305
Mailing Address - Country:US
Mailing Address - Phone:865-882-7470
Mailing Address - Fax:865-882-8933
Practice Address - Street 1:6354 LONAS SPRING DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2719
Practice Address - Country:US
Practice Address - Phone:865-584-2282
Practice Address - Fax:865-584-0027
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT00093152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3130776OtherBLUECROSS
TN3130776OtherBLUECROSS
TN3942648Medicare PIN