BEN BOB MAHAN (NPI# 1881690311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881690311 |
| Entity Type | Individual |
| Full Name | BEN BOB MAHAN |
| Credential | M.D. |
| Practice Address |
926 N Jackson St Tullahoma TN 37388-2300 |
| Practice Telephone | 9313936004 |
| Practice Fax Number | 9313934795 |
| Mailing Telephone | 9313936004 |
| Mailing Fax Number | 9313934795 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | TN18870 | TN | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
TN18870 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 3074482 | 01 |
| TN | 3039979 | 05 |
| Street Address |
926 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427212216 | Sandra T Duckworth | Optometrist | 926 N Jackson St, Tullahoma, TN 37388-2300 | 2008-07-11 |
| 1851420954 | Eye Associates Optical, LLC. | Technician/Technologist | 926 N Jackson St, Tullahoma, TN 37388-2332 | 2007-03-05 |
| 1407984396 | Eye M D Ophthalmology Pllc | Optometrist | 926 N Jackson St, Tullahoma, TN 37388-2300 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245225655 | Hunter W Norris | Ophthalmology | 1100 N Jackson St, Tullahoma, TN 37388-2336 | 2005-09-13 |
| 1558552968 | Cataract Care, Pllc | Ophthalmology | 1100 N Jackson St, Tullahoma, TN 37388-2336 | 2007-08-09 |
| 1801087234 | Retinal Eye Associates, Pllc | Ophthalmology | 1100 N Jackson St, Tullahoma, TN 37388-2336 | 2007-08-09 |
| 1518952597 | Robert Craig Collier | Ophthalmology | 1100 N Jackson St, Tullahoma, TN 37388-2336 | 2005-09-15 |
| 1699760900 | Eye Care Center Associates Pa | Ophthalmology | 1100 N Jackson St, Tullahoma, TN 37388-2336 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184105272 | Blue Ridge Medical Management Corporation | Ophthalmology | 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 | 2018-08-27 |
| 1073966503 | Cataract and Eyecare Center,professional LLC | Ophthalmology | 10100 Ramsey Way, Dickson, TN 37055-1085 | 2016-07-20 |
| 1780034439 | Alina Lou | Ophthalmology | 2311 Pierce Avenue, Vanderbilt University Ophthalmology Residency Program, Nashville, TN 37232 | 2016-06-14 |
| 1447606454 | Stephen Dryden | Ophthalmology | 930 Madison Ave Ste 470, Memphis, TN 38103-7400 | 2016-05-09 |
| 1932568409 | Cool Springs Surgical Associates LLC | Ophthalmology | 2001 Mallory Ln Ste 105, Franklin, TN 37067-8220 | 2016-02-12 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1902291859 | Brent Aebi | Ophthalmology | 3185 W State St Ste 2010, Bristol, TN 37620-1600 | 2015-03-30 |
| 1487098927 | Christine Ann Rust | Ophthalmology | 1670 West Main St, Suite 100, Lebanon, TN 37087 | 2013-04-27 |
| 1134462450 | Andrew Gordon Meador | Ophthalmology | 1800 Church St Ste 100, Nashville, TN 37203-2233 | 2013-04-04 |
| 1407193337 | Daniel E. Bustos, M.d., P.C. | Ophthalmology | 1725 Medical Center Pkwy Ste 120, Murfreesboro, TN 37129-2248 | 2013-01-11 |
| 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.