EYE CENTERS OF TENNESSEE, LLC (NPI# 1780157925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780157925 |
| Entity Type | Organization |
| Organization Name | EYE CENTERS OF TENNESSEE, LLC |
| Practice Address |
46 W Broad St Cookeville TN 38501-2572 |
| Mailing Address |
15 Iris Ln Crossville TN 38555-7528 |
| Practice Telephone | 9315281567 |
| Practice Fax Number | 9315266094 |
| Mailing Telephone | 9314562728 |
| Mailing Fax Number | 9314565446 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | RAYMOND K MAYS (CEO) |
| Authorized Official Telephone | 9314562728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
46 W BROAD ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790955482 | Jane E. Wheeler, O.d. | Optometrist | 46 W Broad St, Cookeville, TN 38501-2572 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1588287353 | National Vision Inc | Optometrist | 1265 Interstate Dr Ste 203, Cookeville, TN 38501-5227 | 2020-05-27 |
| 1629284435 | Ronald D Hall | Optometrist | 340 S Lowe Ave, Cookeville, TN 38501-4737 | 2007-05-16 |
| 1891851937 | Heather Kay Brown-conner | Optometrist | 1177 Sams St, Cookeville, TN 38506-4007 | 2006-12-30 |
| 1609827542 | Garrett Clark Shepherd | Optometrist | 45 N Dixie Ave, Cookeville, TN 38501-3372 | 2006-05-15 |
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1366425605 | Ralph H Mullins | Optometrist | 585 E 10th St, Cookeville, TN 38501-1807 | 2005-11-21 |
| 1255320859 | Matthew Kurt Mosteller | Optometrist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2005-10-17 |
| 1477546638 | Jane Elisabeth Wheeler | Optometrist | 768 S Willow Ave Ste A, Cookeville, TN 38501-3892 | 2005-08-23 |
| 1801895438 | Stephen M Richardson | Optometrist | 430 Neal St, Cookeville, TN 38501-0916 | 2005-07-15 |
| 1245237247 | James E. Miller | Optometrist | 628 E 10th St, Cookeville, TN 38501-1810 | 2005-07-05 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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.