EYE CENTERS OF TENNESSEE, LLC (NPI# 1689221970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689221970 |
| Entity Type | Organization |
| Organization Name | EYE CENTERS OF TENNESSEE, LLC |
| Practice Address |
305 N Spring St Sparta TN 38583-1300 |
| Mailing Address |
15 Iris Ln Crossville TN 38555-7528 |
| Practice Telephone | 9318362424 |
| Practice Fax Number | 9318361314 |
| Mailing Telephone | 9314562728 |
| Mailing Fax Number | 9314565446 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | ERIK BERGVIN (COO) |
| Authorized Official Telephone | 9314562728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| 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 |
| 1427520980 | Eye Centers of Tennessee, LLC | Technician/Technologist | 100 Old Jefferson St, Celina, TN 38551-4040 | 2018-12-21 |
| 1306014378 | Eye Centers of Tennessee, LLC | Ophthalmology | 220 N Chancery St, Mc Minnville, TN 37110-2551 | 2008-02-13 |
| 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 |
305 N SPRING ST |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| 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 |
|---|---|---|---|---|
| 1972141877 | Mullins Vision South, Pllc | Optometrist | 126 E Bockman Way, Sparta, TN 38583-2036 | 2019-12-11 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1467907063 | Logan Oliver | Optometrist | 18 Grayson St, Sparta, NC 28675-6006 | 2016-08-24 |
| 1841678927 | Stella Lee | Optometrist | 1 Wilson Dr, Sparta, NJ 07871-4416 | 2015-05-11 |
| 1689904682 | Anne M. Pfeffer O.d., Pllc | Optometrist | 570 S State St Ste B, Sparta, MI 49345-1524 | 2010-01-13 |
| 1851579056 | Keith Oliver Dr | Optometrist | 18 S Grayson St, Sparta, NC 28675-9598 | 2008-02-11 |
| 1639350424 | Mark Zaleski T/a Albert Minelli Opticians | Optometrist | 55 Sparta Ave, Sparta, NJ 07871-1815 | 2007-11-20 |
| 1144375866 | Southern Illinois Eyecare, PC | Optometrist | 520 E Broadway St, Sparta, IL 62286-1889 | 2007-01-24 |
| 1326128810 | Anne Michelle Pfeffer | Optometrist | 343 S Union St, Sparta, MI 49345-1531 | 2006-10-17 |
| 1457310203 | David Ryan Harkema | Optometrist | 38 N Union St, Sparta, MI 49345-1138 | 2006-03-21 |
| Find all providers in SPARTA | ||||
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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.