EYE CENTERS OF TENNESSEE, LLC (NPI# 1306014378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306014378 |
| Entity Type | Organization |
| Organization Name | EYE CENTERS OF TENNESSEE, LLC |
| Practice Address |
220 N Chancery St Mc Minnville TN 37110-2551 |
| Mailing Address |
15 Iris Ln Crossville TN 38555-7528 |
| Practice Telephone | 9314732487 |
| Practice Fax Number | 9314738782 |
| Mailing Telephone | 9314562728 |
| Mailing Fax Number | 9314565446 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | MRS. TINA D BREEDING (FRONT OFFICE CREDENTIALING) |
| Authorized Official Telephone | 9314562728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD16334 | TN | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD9365 | TN | Suppliers |
| Y | 152W00000X | Optometrist | OD3109 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q008842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157925 | Eye Centers of Tennessee, LLC | Technician/Technologist | 46 W Broad St, Cookeville, TN 38501-2572 | 2019-01-10 |
| 1831661206 | Eye Centers of Tennessee, LLC | Technician/Technologist | 8401 Tn-111, Byrdstown, TN 38549 | 2018-12-26 |
| 1114199452 | Eye Centers of Tennessee, LLC | Eyewear Supplier (Equipment, not the service) | 1029 Waterford Pl, Kingston, TN 37763-2686 | 2008-03-27 |
| 1932224128 | Eye Centers of Tennessee, LLC | Technician/Technologist | 1205 Old Hwy 127 South, Jamestown, TN 38556 | 2007-03-20 |
| 1093337503 | Eye Centers of Tennessee, LLC | Optometrist | 999 Guardian Way, Cookeville, TN 38506-0680 | 2020-05-07 |
| 1689221970 | Eye Centers of Tennessee, LLC | Ophthalmology | 305 N Spring St, Sparta, TN 38583-1300 | 2019-08-21 |
| 1427520980 | Eye Centers of Tennessee, LLC | Technician/Technologist | 100 Old Jefferson St, Celina, TN 38551-4040 | 2018-12-21 |
| 1902920507 | Eye Centers of Tennessee, LLC | Technician/Technologist | 768 S Willow Ave Ste A, Cookeville, TN 38501-3892 | 2007-03-19 |
| 1134243751 | Eye Centers of Tennessee, LLC | Technician/Technologist | 5751 Bradford Hicks Dr, Livingston, TN 38570-2237 | 2007-03-19 |
| 1104940790 | Eye Centers of Tennessee, LLC | Optometrist | 15 Iris Ln, Crossville, TN 38555-7528 | 2007-03-19 |
| Street Address |
220 N CHANCERY ST |
| City | MC MINNVILLE |
| State | TN |
| Zip Code | 37110-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204805 | William Glenn Davis | Ophthalmology | 220 N Chancery St, Mc Minnville, TN 37110-2551 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003841420 | Stanley R Martin | Optometrist | 231 Northgate Dr, Suite 106, Mc Minnville, TN 37110-1426 | 2006-07-12 |
| 1659395473 | Terry Wayne Connor | Optometrist | 915 N Chancery St, Ste 120, Mc Minnville, TN 37110-1504 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1689272502 | Hayden Matz | Optometrist | 2817 W End Ave Ste 117, Nashville, TN 37203-1481 | 2020-10-13 |
| 1013514207 | Eyecare Plus Th Pllc | Optometrist | 1802 N Jackson St Ste 870, Tullahoma, TN 37388-8237 | 2020-10-01 |
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1912516956 | Mallard Eye Care, LLC | Optometrist | 1334 N Ellington Pkwy # P, Lewisburg, TN 37091-2218 | 2020-07-27 |
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1154939742 | Jason Chu | Optometrist | 3343 Aspen Grove Dr Ste 200, Franklin, TN 37067-2908 | 2020-07-20 |
| 1467070656 | Amanda Smith Optometry Pllc | Optometrist | 726 N Locust Ave Ste 2d, Lawrenceburg, TN 38464-2874 | 2020-07-14 |
| 1699393363 | National Vision Inc | Optometrist | 295 New Byhalia Rd, Collierville, TN 38017-3770 | 2020-07-09 |
| 1962029280 | Elise Lou Svennevik | Optometrist | 5554 Franklin Pike Ste 100, Nashville, TN 37220-2131 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | MC MINNVILLE |
| Zip Code | 37110 |
Please comment or provide details below to improve the information on EYE CENTERS OF TENNESSEE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.