SOUTHEAST EYE SPECIALISTS PLLC (NPI# 1518961176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518961176 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST EYE SPECIALISTS PLLC |
| Practice Address |
7268 Jarnigan Rd Suite 200 Chattanooga TN 37421-3097 |
| Mailing Address |
341 Cool Springs Blvd Ste 400 Franklin TN 37067-7224 |
| Practice Telephone | 4235087337 |
| Practice Fax Number | 4235087338 |
| Mailing Telephone | 4235087337 |
| Mailing Fax Number | 4235087338 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DR. DARYL FRANCIS MANN (CENTER DIRECTOR) |
| Authorized Official Telephone | 4235087337 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 524169578A | 05 | |
| TN | 3721447 | 05 | |
| GA | GRP6156 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 135 N Meadows Dr Ste A, Athens, TN 373034172 | 4235087337 | 4235087338 |
| 1400 Dowell Springs Blvd Ste 310, Knoxville, TN 379092445 | 8659667337 | 8659667339 |
| 3443 Dickerson Pike Ste 240, Nashville, TN 372072522 | 6157827337 | 6157427338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437138 | Southeast Eye Specialists Pllc | Optometrist | 28 White Bridge Road, Suite 208, Nashville, TN 37205 | 2020-04-29 |
| Street Address |
7268 JARNIGAN RD SUITE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557148 | Daryl Francis Mann | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2005-06-09 |
| 1548719503 | Paige Thompson | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3096 | 2016-09-30 |
| 1922557032 | Spencer Sechler | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3096 | 2016-09-30 |
| 1942675954 | Rachel Lusk | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2015-12-02 |
| 1013305275 | Rachel L Brown | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2014-12-22 |
| 1992100390 | Reed B Parker | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2014-10-28 |
| 1780017483 | Luckson Previl | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2013-08-16 |
| 1184853947 | Thomas Peterson Lindquist | Ophthalmology | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2009-07-14 |
| 1588899488 | Carolee Marie Cutler Peck | Ophthalmology | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2009-05-20 |
| 1871748715 | Leslie Ann Phillips | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1952646176 | Harvey A Jacobs | Ophthalmology | 608 Swansons Ridge Rd, Chattanooga, TN 37421-4500 | 2012-11-28 |
| 1265798839 | Alliance Eye Care Pllc | Ophthalmology | 7405 Shallowford Rd Ste 420, Chattanooga, TN 37421-2662 | 2012-04-07 |
| 1942315866 | Pe Than Tin Md PC | Ophthalmology | 930 Oak St, Chattanooga, TN 37403-2410 | 2006-08-20 |
| 1538187224 | Caroline K. Elias | Ophthalmology | 3898 Hixson Pike, Chattanooga, TN 37415-3562 | 2006-07-18 |
| 1659319010 | Paula Christine Nicola | Ophthalmology | 979 E 3rd St Ste 240, Chattanooga, TN 37403-2136 | 2006-06-04 |
| 1912968371 | Dennis C. Matzkin | Ophthalmology | 7405 Shallowford Road, Suite 400, Chattanooga, TN 37421 | 2006-03-28 |
| 1346228426 | Courtney Webb Ridner | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-01-09 |
| 1841288131 | David L. Friedrich | Ophthalmology | 2120 Northgate Park Lane, Suite 102, Chattanooga, TN 37415-6937 | 2005-10-11 |
| 1992702021 | Elizabeth D Mabry | Ophthalmology | 1210 Premier Dr Ste 110, The Pointe, Chattanooga, TN 37421-3747 | 2005-07-05 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| 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.