SKYLINE EYE CLINIC, PC (NPI# 1114179587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114179587 |
| Entity Type | Organization |
| Organization Name | SKYLINE EYE CLINIC, PC |
| Other Organization Name | EYE CLINIC, PC |
| Practice Address |
138 Houston Ave Selmer TN 38375-2127 |
| Practice Telephone | 7316457255 |
| Mailing Telephone | 7316457255 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | RAYMOND J KEE (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 7314242414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 457 | TN | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eye Clinic, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328813 | Skyline Eye Clinic, PC | Ophthalmology | 668 Skyline Dr, Jackson, TN 38301-3951 | 2005-07-07 |
| Street Address |
138 HOUSTON AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| Find all providers in zip 38375 | ||||
| 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 |
|---|---|---|---|---|
| 1578686598 | Joseph J. Driscoll | Optometrist | 135 S Y Sq, Selmer, TN 38375-1739 | 2007-04-06 |
| 1437138492 | James Preston Smith | Optometrist | 138 W Houston, Selmer, TN 38375 | 2006-01-10 |
| 1982853149 | Andrea Jo Mitchell | Optometrist | 270 E Court Ave, Selmer, TN 38375-2304 | 2008-09-11 |
| 1184814857 | Dr. Joseph J. Driscoll, O.d. | Optometrist | 135 S Y Sq, Selmer, TN 38375-1739 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1689272502 | Hayden Matz | Optometrist | 2817 W End Ave Ste 117, Nashville, TN 37203-1481 | 2020-10-13 |
| 1013514207 | Eyecare Plus Th Pllc | Optometrist | 1802 N Jackson St Ste 870, Tullahoma, TN 37388-8237 | 2020-10-01 |
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1912516956 | Mallard Eye Care, LLC | Optometrist | 1334 N Ellington Pkwy # P, Lewisburg, TN 37091-2218 | 2020-07-27 |
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1154939742 | Jason Chu | Optometrist | 3343 Aspen Grove Dr Ste 200, Franklin, TN 37067-2908 | 2020-07-20 |
| 1467070656 | Amanda Smith Optometry Pllc | Optometrist | 726 N Locust Ave Ste 2d, Lawrenceburg, TN 38464-2874 | 2020-07-14 |
| 1699393363 | National Vision Inc | Optometrist | 295 New Byhalia Rd, Collierville, TN 38017-3770 | 2020-07-09 |
| 1962029280 | Elise Lou Svennevik | Optometrist | 5554 Franklin Pike Ste 100, Nashville, TN 37220-2131 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.