| Organization Name: | UNIVERSITY EYE SURGEONS, P.C. |
| NPI Number: | 1003971342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY RAUEN (ADMINISTRATOR) |
| Mailing Address: | 622 Smithview Dr Maryville |
| State: | TN US |
| Postal Code: | 378036100 |
| Phone Number: | 8656811234 |
| Fax Number: | 8659829746 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |