EAGLE EYE DME LLC NPI 1013143411

Durable Medical Equipment & Medical Supplies (Customized Equipment) in Counce, TN

NPI 1013143411 Organization Durable Medical Equipment & Medical Supp... Customized Equipment

About EAGLE EYE DME LLC

Eagle Eye Dme Llc is a provider established in Counce, Tennessee specializing in durable medical equipment & medical supplies (customized equipment) . The NPI number of Eagle Eye Dme Llc is 1013143411 and was assigned on June 2009. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Miss Sylvia Tess Gurley (Owner/director)

NPI

1013143411

Provider NameEAGLE EYE DME LLC
Provider Location Address11240 HWY 57 COUNCE, TN 38326
Provider Mailing Address180 STROBBE LANE COUNCE, TN 38326
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-01-2009
Last Update Date02-01-2010


Primary Taxonomy

Taxonomy Code332BC3200X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
SpecializationCustomized Equipment

Business Address

EAGLE EYE DME LLC
11240 HWY 57
COUNCE, TN
ZIP 38326
Phone: (662) 665-1905

Get Directions


Mailing Address

EAGLE EYE DME LLC
180 STROBBE LANE
COUNCE, TN
ZIP 38326
Phone: (662) 665-1905



Authorized Official

Authorized Official NameMISS SYLVIA TESS GURLEY
Authorized Official TitleOWNER/DIRECTOR
Authorized Official Phone(662) 665-1905

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
6286890001MEDICARE NSC (07)TN

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.