WILSON COUNTY EYE SURGERY CTR (NPI# 1063636850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063636850 |
| Entity Type | Organization |
| Organization Name | WILSON COUNTY EYE SURGERY CTR |
| Practice Address |
1670 W Main St Ste 120 Lebanon TN 37087-1344 |
| Practice Telephone | 6154535155 |
| Practice Fax Number | 6154445915 |
| Mailing Telephone | 6154535155 |
| Mailing Fax Number | 6154445915 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | VIVIAN L RAGSDALE (BILLING MANAGER) |
| Authorized Official Telephone | 6154535155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PALMETTO DMERC | 1238610001 | 01 |
| Street Address |
1670 W MAIN ST STE 120 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874320 | F Kirk Bowles | Ophthalmology | 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | 2005-07-07 |
| 1659738383 | Vanderbilt University Medical Center | Eyewear Supplier (Equipment, not the service) | 1670 W Main St, Suite 100, Lebanon, TN 37087-1345 | 2016-01-26 |
| 1477925550 | Community Quick Care | Nurse Practitioner | 1670 W Main St, Suite 140, Lebanon, TN 37087-1344 | 2015-10-28 |
| 1861769606 | Vanderbilt University | Eyewear Supplier (Equipment, not the service) | 1670 W Main St, Lebanon, TN 37087-1344 | 2011-11-22 |
| 1801177308 | Amanda Jane Colson | Nurse Practitioner | 1670 W Main St, Suite 140, Lebanon, TN 37087-1344 | 2011-08-29 |
| 1093989014 | Lebanon Eye Associates | Ophthalmology | 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | 2008-04-22 |
| 1386857647 | Lebanon Eye Associates | Durable Medical Equipment & Medical Supplies | 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | 2007-05-07 |
| 1003031626 | Lebanon Eye Associates PC | Optometrist | 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | 2007-04-17 |
| 1326171794 | Wilson County Eye Surgery Center, LLC | Anesthesiology | 1670 W Main St, Suite 120, Lebanon, TN 37087-1344 | 2007-03-14 |
| 1528194305 | Lebanon Eye Associates PC | Ophthalmology | 1670 W Main St, Suite 100, Lebanon, TN 37087-1344 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024972 | Advanced Dme, LLC | Durable Medical Equipment & Medical Supplies | 1432 W Main St Ste 103, Lebanon, TN 37087-1329 | 2019-07-16 |
| 1972164424 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 988 Isabel Dr, Lebanon, PA 17042-7483 | 2019-06-25 |
| 1528560786 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | Po Box 1148, Lebanon, VA 24266-1148 | 2018-03-05 |
| 1356849301 | Loeco LLC | Durable Medical Equipment & Medical Supplies | 1123 N Castle Heights Ave Ste L, Lebanon, TN 37087-5725 | 2018-01-24 |
| 1316455587 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | 206 Pruner St, Lebanon, VA 24266-4210 | 2018-01-22 |
| 1407100274 | Jackson Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 77 Business Park Dr, Lebanon, TN 37090-1237 | 2012-11-01 |
| 1992073936 | Rmi, Incorporated | Durable Medical Equipment & Medical Supplies | 2220 N Lebanon St, Lebanon, IN 46052-1109 | 2011-12-06 |
| 1588946776 | Synergy Respiratory Care | Durable Medical Equipment & Medical Supplies | 1165 S Park St, Lebanon, OR 97355-3452 | 2011-09-13 |
| 1285933598 | Mobility One LLC | Durable Medical Equipment & Medical Supplies | 930 Meily St, Lebanon, PA 17046-2855 | 2011-03-25 |
| 1275767584 | Homewell Medical Inc | Durable Medical Equipment & Medical Supplies | 360 N Mount Zion Rd, Suite D, Lebanon, IN 46052-8330 | 2009-05-14 |
| Find all providers in LEBANON | ||||
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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.