SOUTHEAST EYE SPECIALISTS MIDDLE TN
NPI 1003437138
Ophthalmology in Nashville, TN
NPI Status: Active since April 29, 2020
Contact Information
28 WHITE BRIDGE ROAD
SUITE 208
NASHVILLE, TN
ZIP 37205
Phone: (615) 327-2001
- Organization
- Ophthalmology
- Accepts Insurance
- CLIA Number: 44D2129029
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-29-2026
About SOUTHEAST EYE SPECIALISTS MIDDLE TN
This page provides the complete NPI Profile along with additional information for Southeast Eye Specialists Middle Tn, a provider established in Nashville, Tennessee operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1003437138 assigned on April 2020. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Southeast Eye Specialists Middle Tn operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Southeast Eye Specialists Middle Tn. The authorized official of this NPI record is Stacey Michelle Crudup (Chief Compliance Officer)
- NPI
- 1003437138
- Provider Legal Name
- SOUTHEAST EYE SPECIALISTS PLLC
- Other Organization Name
- SOUTHEAST EYE SPECIALISTS MIDDLE TN
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 28 WHITE BRIDGE ROAD SUITE 208 NASHVILLE, TN 37205
- Location Phone
- (615) 327-2001
- Mailing Address
- 341 COOL SPRINGS BLVD STE 400 FRANKLIN, TN 37067
- Mailing Phone
- (423) 508-7337
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-29-2020
- Last Update Date
- 10-28-2020
- Code Navigator
Ophthalmologists like Southeast Eye Specialists Middle Tn specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Secondary Locations
- 980 Professional Park Dr Ste E
Clarksville, TN 37040
(615) 234-2011 - 393 Nichol Mill Ln Ste 30
Franklin, TN 37067
(615) 814-5000 - 342 22nd Ave N
Nashville, TN 37203
(615) 327-2001 - 927 N. James Campbell Blvd. Suite 103
Columbia, TN 38401
(931) 840-3501 - 1602 W Northfield Blvd Ste 504
Murfreesboro, TN 37129
(615) 217-3321
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 2 | 207WX0009X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 3 | 207WX0107X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 4 | 207WX0110X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 5 | 207WX0120X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 6 | 207WX0200X | Allopathic & Osteopathic Physicians | Ophthalmology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoice) + Vision + Adult Dental - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP6156 | MEDICAID (05) | GA | |
| 3721447 | OTHER (01) | TN | MEDICARE PIN |
| 3721447 | MEDICAID (05) | TN | |
| 524169578A | MEDICAID (05) | GA | |
| GRP6156 | OTHER (01) | MEDICARE PIN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2129029
- Facility Type
- Physician Office
- Certificate Effective Date
- March 30, 2024
- Certificate Expiration Date
- March 29, 2026
- Laboratory Director
- DR. JOSEPH KEENAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Southeast Eye Specialists Middle Tn on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003437138, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
NASHVILLE, TN 37205
NASHVILLE, TN 37205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003437138, enumerated as an "organization" on April 29, 2020.
The provider is located at 28 WHITE BRIDGE ROAD SUITE 208 NASHVILLE, TN 37205 and the phone number is (615) 327-2001.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
