EYE CLINIC, PC
NPI 1154328813
Ophthalmology in Jackson, TN

Active since July 07, 2005CLIA 44D0965786 · Waiver
668 SKYLINE DR, JACKSON, TN 38301(731) 424-2414(731) 424-4444 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eye Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CLINIC, PC (NPI 1154328813) is a healthcare organization registered as an ophthalmology in Jackson, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Raymond James Kee, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154328813
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSKYLINE EYE CLINIC, PC
Location Address668 SKYLINE DRJackson, TN 38301-3951
Mailing Address668 Skyline DrJackson, TN 38301-3951 · (731) 424-2414 · Fax (731) 424-4444
Fax(731) 424-4444
Organization SubpartNo
Authorized OfficialRaymond James KeeAdministrator · (731) 424-2414
Enumeration DateJuly 7, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154328813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
668 SKYLINE DR, Jackson, TN 38301

Other Names 1

Doing Business AsEye Clinic, Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Eye Clinic, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology5
Optometry5

Clinicians, nearest first (10)

Ophthalmology
NPI 1831178797
668 SKYLINE DR
Jackson, TN 38301
(731) 424-2414
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1699120162
668 SKYLINE DR
Jackson, TN 38301
(731) 426-8434
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1528047586
668 SKYLINE DR
Jackson, TN 38301
(731) 424-2414
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1124241997
668 SKYLINE DR
Jackson, TN 38301
(731) 424-2414
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1023123643
668 SKYLINE DR
Jackson, TN 38301
(731) 424-2414
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1922667682
119 STONEBROOK PL STE A
Jackson, TN 38305
(731) 215-6490
✔ PECOS✔ Accepts Medicare3.5 mi
Optometry
NPI 1356498828
1340 UNION UNIVERSITY DR
Jackson, TN 38305
(731) 424-2414
✔ PECOS✔ Accepts Medicare3.5 mi
Optometry
NPI 1083755037
25 MIDDLE SCHOOL ROAD
Medina, TN 38355
(731) 664-1604
✔ PECOS✔ Accepts Medicare13 mi
Optometry
NPI 1164651998
138 S WASHINGTON AVE
Henderson, TN 38340
(731) 989-3511
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1437138492
138 W HOUSTON
Selmer, TN 38375
(731) 645-7255
✔ PECOS35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0965786

Eye Clinic · Jackson, TN
Active · expires Sep 28, 2027
CLIA Number44D0965786
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorLinda Hollars
Laboratory Phone(901) 424-2414
Laboratory LocationEye Clinic668 Skyline Drive, Jackson, TN 38301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Skyline Eye Clinic, PC's NPI number?

The NPI number for Skyline Eye Clinic, PC is 1154328813. It was assigned to this organization in the NPPES registry on July 7, 2005. The provider is doing business as Eye Clinic, PC.

Where is Skyline Eye Clinic, PC located?

Skyline Eye Clinic, PC is located at 668 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 424-2414.

What is Skyline Eye Clinic, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Skyline Eye Clinic, PC enrolled in Medicare?

Yes. Skyline Eye Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skyline Eye Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Skyline Eye Clinic, PC. 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 (5) and Optometry (5). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skyline Eye Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0965786) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skyline Eye Clinic, PC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Skyline Eye Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skyline Eye Clinic, PC was last updated on August 22, 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.