EYES ON DIABETES PLLC (NPI# 1174972913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174972913 |
| Entity Type | Organization |
| Organization Name | EYES ON DIABETES PLLC |
| Practice Address |
215 Holly Ln #a Waverly TN 37185-3387 |
| Practice Telephone | 9312961990 |
| Practice Fax Number | 9312961889 |
| Mailing Telephone | 9312961990 |
| Mailing Fax Number | 9312961889 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | ROSS LUMPKIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7316762028 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
215 HOLLY LN #A |
| City | WAVERLY |
| State | TN |
| Zip Code | 37185-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242185 | Tonya Michelle Reynoldson | Optometrist | 215 Holly Ln, River Valley Eye Clinic P.c, Waverly, TN 37185-0493 | 2005-08-18 |
| 1316009319 | River Valley Eye Clinic P C | Optometrist | 215 Holly Ln, Waverly, TN 37185-1531 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295567 | Tiffany Szabo | Speech-Language Pathologist | 670 Tn- 13, Waverly, TN 37185 | 2015-09-16 |
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1982995346 | Laurel Lea Barrier | Speech-Language Pathologist | 1171 Lockhart Road, Waverly, TN 37185 | 2011-04-20 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1720147119 | Kelley M Blackwell | Marriage & Family Therapist | 795 Holly Ln, Waverly, TN 37185 | 2006-12-08 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| Find all providers in zip 37185 | ||||
| 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 |
|---|---|---|---|---|
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1366474355 | Larry H Vandaalen | Optometrist | 108 2nd St Nw, Waverly, IA 50677-2619 | 2006-07-07 |
| 1386676880 | Ron W Roelfs | Optometrist | 124 2nd St Ne, Waverly, IA 50677 | 2006-07-06 |
| 1457300683 | Eye Specialist Inc | Optometrist | 505 West Emmitt Avenue, Suite 4, Waverly, OH 45690-1084 | 2006-05-06 |
| 1154383883 | Gregory G Montavon | Optometrist | 414 W Emmitt Ave, Waverly, OH 45690-1008 | 2006-04-06 |
| 1447242185 | Tonya Michelle Reynoldson | Optometrist | 215 Holly Ln, River Valley Eye Clinic P.c, Waverly, TN 37185-0493 | 2005-08-18 |
| 1841735008 | Eye Care Center of Waverly, Pllc | Optometrist | 108 2nd St Nw, Waverly, IA 50677-2619 | 2016-12-27 |
| 1134473374 | P and B Eye Care, LLC | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677-3771 | 2012-11-08 |
| 1639460421 | Bridget Jane Steere-bollman | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677-3771 | 2011-04-27 |
| 1699089078 | Mp Eyecare, LLC | Optometrist | 105 20th St Nw, Waverly, IA 50677-2059 | 2010-07-28 |
| Find all providers in WAVERLY | ||||
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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.