Edward A Peterson (NPI# 1679577324, PAC ID# 1153233341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1679577324 |
| PAC ID by PECOS | 1153233341 |
| Professional Enrollment ID | I20031105000357 |
| Full Name | Edward A Peterson |
| Organization Legal Name | SOUTHEAST EYE SPECIALISTS PLLC |
| Address |
135 N Meadows Dr A Athens TN 37303-4172 |
| Phone Number | 4235087337 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6800708504 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
| 440151 | ST THOMAS RIVER PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 135 N Meadows Dr A, Athens, TN 37303-4172 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| 1949 Gunbarrel Rd, Suite 220, Chattanooga, TN 37421-3187 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| 15247 Rankin Ave, Dunlap, TN 37327-7051 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| 1400 Dowell Springs Blvd, Suite 310, Knoxville, TN 37909-2445 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| 1801 N Washington St, Suite 500, Tullahoma, TN 37388-8251 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 77% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 70% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SOUTHEAST EYE SPECIALISTS PLLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Jarvis | Optometry | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Thomas Peter Lindquist | Ophthalmology | Southeast Eye Specialists Pllc | 1109 Burleyson Rd, Suite 101, Dalton, GA 30720-4600 |
| Trey Pegram | Ophthalmology | Southeast Eye Specialists Pllc | 980 Hwy 28 408, Jasper, TN 37347-3696 |
| Peter Richard Andrews | Ophthalmology | Southeast Eye Specialists Pllc | 1400 Dowell Springs Blvd, Suite 310, Knoxville, TN 37909-2445 |
| Sonya M Smoak | Optometry | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Rex A Yannis | Ophthalmology | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Daryl F Mann | Optometry | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Sachie Hase Craig | Optometry | Southeast Eye Specialists Pllc | 934 S Broadway St, Suite C, Portland, TN 37148-1718 |
| Paige Thompson | Optometry | Southeast Eye Specialists Pllc | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 |
| Carolee M Cutler Peck | Ophthalmology | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Street Address |
135 N MEADOWS DR A |
| City | ATHENS |
| State | TN |
| Zip | 37303-4172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reed Parker | Optometry | Southeast Eye Specialists Pllc | 135 N Meadows Dr A, Athens, TN 37303-4172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Mcleod | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Robert G Hewgley Jr. | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Douglas S Hayes | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Stephen Lemings | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Lucille A Dietrick | Chiropractic | 620 N Congress Pkwy, Athens, TN 37303-1618 | |
| Jennifer R King | Audiologist | 311 Congress Pkwy N, Suite 200, Athens, TN 37303-1694 | |
| Michael R Veale | Orthopedic Surgery | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| Johnnie Carter | Family Medicine | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| William J Thornton | Nurse Practitioner | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| Paul A Broadstone | Orthopedic Surgery | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| Find all physicians in zip 37303 | |||
| City | ATHENS |
| Zip Code | 37303 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ATHENS + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.