SOUTHEAST EYE SPECIALISTS MIDDLE TN
NPI 1003437138
Ophthalmology in Nashville, TN
About Southeast Eye Specialists Middle Tn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST EYE SPECIALISTS MIDDLE TN (NPI 1003437138) is a healthcare organization registered as an ophthalmology in Nashville, Tennessee and active in the NPI registry since April 2020. The organization maintains 5 additional practice locations and lists Stacey Michelle Crudup, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Secondary Practice Locations 5
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Eye Specialists Middle Tn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Southeast Eye Specialists Middle Tn, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southeast Eye Specialists PLLC's NPI number?
The NPI number for Southeast Eye Specialists PLLC is 1003437138. It was assigned to this organization in the NPPES registry on April 29, 2020. The provider is also known as Southeast Eye Specialists Middle Tn.
Where is Southeast Eye Specialists PLLC located?
Southeast Eye Specialists PLLC is located at 28 White Bridge Road Suite 208, Nashville, TN 37205. The listed phone number is (615) 327-2001.
What is Southeast Eye Specialists PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Southeast Eye Specialists PLLC enrolled in Medicare?
Yes. Southeast Eye Specialists PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Eye Specialists PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast Eye Specialists PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (26) and Optometry (17). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeast Eye Specialists PLLC was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southeast Eye Specialists Middle Tn · NPI 1003437138
Ophthalmology organization in Nashville, Tennessee. Organization record, active in the CMS NPPES registry since April 29, 2020.
## Identity
- **NPI:** 1003437138 (Entity type: Organization)
- **Enumerated:** April 29, 2020
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Southeast Eye Specialists Pllc
- **Organization subpart:** Yes (part of Southeast Eye Specialists, Pllc)
- **Authorized official:** Stacey Crudup, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 28 WHITE BRIDGE ROAD, SUITE 208, Nashville, TN 37205
- **Phone:** (615) 327-2001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (26), Optometry (17); 3 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1003437138/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2020
- **Other identifiers:** Medicaid GRP6156 (GA); Other 3721447 (TN); Medicaid 3721447 (TN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003437138) · Data from the CMS NPPES public registry.