TENNESSEE EYE CARE SPECIALISTS, PLLC (NPI# 1326503699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326503699 |
| Entity Type | Organization |
| Organization Name | TENNESSEE EYE CARE SPECIALISTS, PLLC |
| Practice Address |
902 W Madison Ave Athens TN 37303-3432 |
| Mailing Address |
448 N Cedar Bluff Rd Ste 255 Knoxville TN 37923-3612 |
| Practice Telephone | 8005004667 |
| Practice Fax Number | 8652950167 |
| Mailing Telephone | 9012190173 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | MR. STEPHEN RUDOLPH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9012190173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| Street Address |
902 W MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932125796 | Travis S. Mcdonald | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2006-07-14 |
| 1457478158 | Keylon Eyecare, PC | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2007-03-26 |
| 1720004591 | Stephen Paul Clark | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2006-07-14 |
| 1316963184 | Charles David Keylon | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346453685 | Athens Retina Center PC | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2007-05-07 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1811125610 | Victor Thomas Copeland | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892146 | Richard I Breazeale | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2005-06-22 |
| 1669478996 | Howard Lee Cummings | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2005-06-22 |
| 1861495780 | Steve T Charles | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2005-05-24 |
| 1548760234 | Matt Katz, Md, PC | Ophthalmology | 342 22nd Ave N, Nashville, TN 37203-1844 | 2018-02-19 |
| 1134515042 | Adam Pflugrath | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2015-04-08 |
| 1619298262 | Devon Ghodasra | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2010-06-17 |
| 1992022800 | Stephen Michael Huddleston | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2010-05-01 |
| 1811139470 | Rohan Shah | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2009-03-29 |
| 1871627554 | Francis C Decroos | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2007-03-15 |
| 1376644476 | Robert Keith Shuler Jr. | Ophthalmology | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 | 2006-09-25 |
| 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.