ASSOCIATES IN EYECARE PSC (NPI# 1205065463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205065463 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES IN EYECARE PSC |
| Practice Address |
2945 Maynardville Hwy Suite 6 Maynardville TN 37807-3251 |
| Mailing Address |
127 Foothills Ave Suite 3 Albany KY 42602-1090 |
| Practice Telephone | 8659928899 |
| Practice Fax Number | 8659928899 |
| Mailing Telephone | 6063875612 |
| Mailing Fax Number | 6063876602 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | MR. GARY W UPCHURCH (OPTOMETRIST) |
| Authorized Official Telephone | 6063875612 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID # FOR DR. KEVIN MYSLIWIEC | 3941367; 3941363 | 01 |
| TN | MEDICARE PTAN | 0487990010 | 01 |
| TN | BCBSTN/BLUECARE/TENNCARE | 4248131 | 01 |
| TN | MEDICARE PIN FOR DR. KEVIN MYSLIWIEC | 3941367; 3941363 | 01 |
| TN | MEDICARE PIN FOR DR. SANDY MYSLIWIEC | 3942271 | 01 |
| TN | 3941347 | 05 | |
| TN | MEDICAID # FOR DR. SANDY MYSLIWIEC | 3942271 | 01 |
| OPTUMHEALTH VISION | 63629 | 01 | |
| EYEMED | AO1880:001 | 01 |
| Street Address |
2945 MAYNARDVILLE HWY SUITE 6 |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678987 | Agnes Abella | Physical Therapist | 2945 Maynardville Hwy, Ste.9, Maynardville, TN 37807-3247 | 2005-09-02 |
| 1962833657 | Reliant Family Health, Inc | Family Medicine | 2945 Maynardville Hwy, Ste 3, Maynardville, TN 37807-3251 | 2013-12-05 |
| 1487986535 | Abundant Health & Wellness, Inc. | Clinic/Center | 2945 Maynardville Hwy, Suite 3, Maynardville, TN 37807-3251 | 2010-01-30 |
| 1154658409 | Emily L Harless | Nurse Practitioner | 2945 Maynardville Hwy, Suite 3, Maynardville, TN 37807-3251 | 2009-11-06 |
| 1659365757 | Tennessee Therapeutics, Inc. | Clinic/Center | 2945 Maynardville Hwy, Ste. 9, Maynardville, TN 37807-3251 | 2005-09-02 |
| 1750375952 | Colorado Abella | Physical Therapist | 2945 Maynardville Hwy, Ste. 9, Maynardville, TN 37807-3251 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1881117521 | Kristy Michille Bolt | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2017-07-25 |
| 1275986333 | Ashley Nicole Russell | Counselor | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2016-07-13 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1962843409 | Mary Elizabeth Phillips | Social Worker | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2013-07-12 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| Find all providers in zip 37807 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.