WILSON COUNTY EYE SURGERY CENTER, LLC


Address: 1670 W Main St, Suite 120, Lebanon, TN 37087-1344
Phone: 6154535155

WILSON COUNTY EYE SURGERY CENTER, LLC (NPI# 1326171794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326171794
Entity Type Organization
Organization Name WILSON COUNTY EYE SURGERY CENTER, LLC
Other Organization Name WILSON COUNTY ANESTHESIA
Practice Address 1670 W Main St
Suite 120
Lebanon
TN 37087-1344
Practice Telephone 6154535155
Practice Fax Number 6154445915
Mailing Telephone 6154535155
Mailing Fax Number 6154445915
Enumeration Date 2007-03-14
Last Update Date 2009-02-02
Authorized Official Name MRS. VIVIAN L RAGSDALE (BILLING MANAGER)
Authorized Official Telephone 6154535155
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3629275 05
TN BLUE CROSS BLUE SHIELD 4091648 01
TN RRMEDICARE P00235135 01
TN TRICARE 408700333 01
TN BLUE CROSS BLUE SHIELD 4085359 01
TN TRICARE 408685534 01
TN RRMEDICARE P00228559 01
TN RRMEDICARE CH7739 01

Other Provider/Organization Names

Other Name Type Code
WILSON COUNTY ANESTHESIA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407992878 Wilson County Eye Surgery Center, LLC Clinic/Center 1670 W Main St, Suite 120, Lebanon, TN 37087-1344 2007-01-30

Office Location

Street Address 1670 W MAIN ST
SUITE 120
City LEBANON
State TN
Zip Code 37087-1344

Providers in the same location

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
1063636850 Wilson County Eye Surgery Ctr Durable Medical Equipment & Medical Supplies 1670 W Main St, Ste 120, Lebanon, TN 37087-1344 2007-04-12
1528194305 Lebanon Eye Associates PC Ophthalmology 1670 W Main St, Suite 100, Lebanon, TN 37087-1344 2007-02-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780803833 Kenneth W Travis Anesthesiology Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 2007-04-25
1821138991 Don G. Twyman Anesthesiology 102 Hartman Dr Ste G Pmb 352, Lebanon, TN 37087-1502 2007-02-07
1609961119 Athos John Rassias Anesthesiology Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 2006-10-03
1891719555 Silvana Spertus Anesthesiology 154 Rockaway Rd, Lebanon, NJ 08833-4408 2006-07-27
1578580379 Anesthesia Services of Middle Tennessee, Pllc Anesthesiology 102 Hartmann Dr, Suite G #352, Lebanon, TN 37087 2006-07-16
1134165806 Chao Te Lee Anesthesiology 58 Carroll and Tate St, Lebanon, VA 24266 2006-06-21
1225013642 Robert Campbell Anesthesiology 912 Russell Dr, Lebanon, PA 17042-7485 2005-12-08
1922083450 Gary L Roark Anesthesiology 830 Tuck St, Lebanon, PA 17042-7477 2005-12-07
1972586568 Vinayak C Belamkar Anesthesiology 2705 N Lebanon St Ste 155, Lebanon, IN 46052-8621 2005-11-28
1053309609 Stephen R. Longo Anesthesiology 252 S 4th St, Lebanon, PA 17042-6111 2005-10-07
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Competitor

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City LEBANON
Zip Code 37087

Improve Information

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Dataset Information

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.

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