JOHNSON CITY EYE SURGERY CENTER (NPI# 1720012701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720012701 |
| Entity Type | Organization |
| Organization Name | JOHNSON CITY EYE SURGERY CENTER |
| Practice Address |
110 Med Tech Pkwy Suite 2 Johnson City TN 37604-4004 |
| Practice Telephone | 4237220371 |
| Practice Fax Number | 4237220365 |
| Mailing Telephone | 4237220371 |
| Mailing Fax Number | 4237220365 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CONNIE S STUFFLESTREET (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4237220340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
0000000145 | TN | Ambulatory Health Care Facilities |
| Street Address |
110 MED TECH PKWY SUITE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962473587 | James E Kuziel | Registered Nurse | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-01-31 |
| 1811382393 | Lauren Callon Rushing | Ophthalmology | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2015-04-01 |
| 1104081918 | Jennifer Oakley | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2008-07-21 |
| 1407957160 | James W Battle IIi | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-09-26 |
| 1396777462 | Calvin L Miller | Ophthalmology | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-07-07 |
| 1538196829 | Smokey Mountain Anesthesia PC | Registered Nurse | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-06-26 |
| 1700827961 | Johnson City Eye Clinic PC | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-06-09 |
| 1265480842 | Michael Farzin Shahbazi | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-05-05 |
| 1285682831 | Alan N Mccartt | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-05-05 |
| 1043268220 | John Clifford Johnson | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588110407 | The Cataract Vision Institute LLC | Clinic/Center | 51 Germantown Ct, Suite 103, Cordova, TN 38018-4269 | 2016-08-31 |
| 1538615588 | The Cataract Vision Institute LLC | Clinic/Center | 317 Seven Springs Way, Suite 102, Brentwood, TN 37027-4575 | 2016-08-30 |
| 1942403969 | Peter N Arrowsmith Md PC | Clinic/Center | 210 25th Ave N, 9th Floor, Nashville, TN 37203-1606 | 2007-06-07 |
| 1568431054 | Cataract and Laser Center, LLC | Clinic/Center | 15 Iris Ln, Crossville, TN 38555-7528 | 2006-03-16 |
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on JOHNSON CITY EYE SURGERY CENTER.
| 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.