Organization Name: | EYE CENTERS OF TENNESSEE, LLC |
NPI Number: | 1114199452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA D BREEDING (OFFICE MANAGER) |
Mailing Address: | 1029 Waterford Pl Kingston |
State: | TN US |
Postal Code: | 377632686 |
Phone Number: | 8652488243 |
Fax Number: | 8652488257 |
NPI Enumeration Date: | 03/27/2008 |
NPI Last Update Date: | 10/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 2179 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |