Organization Name: | EYE CENTERS OF TENNESSEE, LLC |
NPI Number: | 1932224128 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA D BREEDING (OFFICE MANAGER) |
Mailing Address: | 1205 Old Hwy 127 South Jamestown |
State: | TN US |
Postal Code: | 38556 |
Phone Number: | 9318795897 |
Fax Number: | 9318798166 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | OD729 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |