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REGIONAL EYE SURGERY CENTER
NPI 1497951826
Nurse Anesthetist, Certified Registered in Kingsport, TN

Active since June 22, 2007CLIA 44D1015560 · Waiver
999 EXECUTIVE PARK BLVD, SUITE 100, KINGSPORT, TN 37660(423) 247-2022(423) 247-2027 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regional Eye Surgery Center NPPES

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

REGIONAL EYE SURGERY CENTER (NPI 1497951826) is a healthcare organization registered as a nurse anesthetist, certified registered in Kingsport, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Phillip Clendenin, President, as its authorized official.

NPPES Registry Identity

NPI1497951826
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameKINGSPORT TN OPHTHALMOLOGY ASC LLC
Location Address999 EXECUTIVE PARK BLVD, SUITE 100Kingsport, TN 37660-4632
Mailing Address1a Burton Hills Blvd, Attn: L&cNashville, TN 37215-6103 · (423) 247-2022 · Fax (423) 247-2027
Phone(423) 247-2022
Fax(423) 247-2027
Organization SubpartNo
Authorized OfficialPhillip ClendeninPresident · (615) 665-1283
Enumeration DateJune 22, 2007
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1497951826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
999 EXECUTIVE PARK BLVD, Kingsport, TN 37660
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Other Names 1

Doing Business AsRegional Eye Surgery Center

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

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 44D1015560

Kingsport Tn Ophthalamology ASC LLC Dba The Regional Eye Surgery Center · Kingsport, TN
Active · expires Aug 10, 2027
CLIA Number44D1015560
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorKeith Williamson
Laboratory Phone(423) 247-2022
Laboratory LocationKingsport Tn Ophthalamology ASC LLC Dba The Regional Eye Surgery Center999 Executive Park Blvd, Suite 100, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGIONAL NEUROSURGERY, P.C.
Specialist
999 EXECUTIVE PARK BLVD, SUITE #102
KINGSPORT, TN 37660
Sullivan County (423) 578-1518
KINGSPORT ANESTHESIA ASSOCIATES LLC
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-2022
WELLMONT PHYSICIAN SERVICES INC
Internal Medicine
999 EXECUTIVE PARK BLVD, SUITE 201
KINGSPORT, TN 37660
Sullivan County (423) 224-3250
MRS. DEBORAH A LOVE CRNA
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-2022
KINGSPORT TN OPHTHALMOLOGY ASC LLC
Clinic/Center (Ambulatory Surgical)
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-2022
TARA M TILTON I PA-C
Physician Assistant (Surgical)
999 EXECUTIVE PARK BLVD, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 578-1518

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 Kingsport Tn Ophthalmology ASC LLC's NPI number?

The NPI number for Kingsport Tn Ophthalmology ASC LLC is 1497951826. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Regional Eye Surgery Center.

Where is Kingsport Tn Ophthalmology ASC LLC located?

Kingsport Tn Ophthalmology ASC LLC is located at 999 Executive Park Blvd Suite 100, Kingsport, TN 37660. The listed phone number is (423) 247-2022.

What is Kingsport Tn Ophthalmology ASC LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Kingsport Tn Ophthalmology ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1015560) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kingsport Tn Ophthalmology ASC LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.