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CLARKSVILLE EYE CLINIC LLC
NPI 1649474263
Optometrist in Clarksville, TN

Active since June 14, 2007CLIA 44D2290987 · Waiver
1111A FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042(931) 645-0346(931) 645-0348 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Eye Clinic Llc NPPES

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

CLARKSVILLE EYE CLINIC LLC (NPI 1649474263) is a healthcare organization registered as an optometrist in Clarksville, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2027, maintains a secondary practice location in Clarksville, and lists Matthew Theodore Drew, Member, as its authorized official.

NPPES Registry Identity

NPI1649474263
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCLARKSVILLE EYE CLINIC LLC
Location Address1111A FORT CAMPBELL BLVDClarksville, TN 37042
Mailing Address1111a Fort Campbell BlvdClarksville, TN 37042-6426 · (931) 645-0346 · Fax (931) 645-0348
Phone(931) 645-0346
Fax(931) 645-0348
Organization SubpartNo
Authorized OfficialMatthew Theodore DrewMember · (931) 645-0346
Enumeration DateJune 14, 2007
Last NPPES UpdateApril 15, 2019
✔ NPI 1649474263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TN · 2519
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1111A FORT CAMPBELL BLVD, Clarksville, TN 37042
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Secondary Practice Location 1

Location 178 Dover Crossing RdClarksville, TN 37042-4111 · Phone (931) 645-0346 · Fax (931) 645-0348

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 44D2290987

Hermitage Eye Care PLLC Dba Clarksville Eye Clinic · Clarksville, TN
Active · expires Oct 3, 2027
CLIA Number44D2290987
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorTangee Davis
Laboratory Phone(931) 645-0346
Laboratory LocationHermitage Eye Care PLLC Dba Clarksville Eye Clinic1111A Fort Campbell Blvd, Clarksville, TN 37042
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 3

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

DR. MATTHEW THEODORE DREW O.D.
Optometrist
1111A FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042
Montgomery County (931) 645-0346
DR. GENEVIEVE SCHADE OD
Optometrist
1111A FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042
Montgomery County (931) 645-0346
JENNIFER JO MARTIN LANE OD
Optometrist
1111A FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042
Montgomery County (931) 645-0346

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 Clarksville Eye Clinic LLC's NPI number?

The NPI number for Clarksville Eye Clinic LLC is 1649474263. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Clarksville Eye Clinic LLC located?

Clarksville Eye Clinic LLC is located at 1111A Fort Campbell Blvd, Clarksville, TN 37042. The listed phone number is (931) 645-0346.

What is Clarksville Eye Clinic LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Clarksville Eye Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2290987) is associated with this NPI, valid through October 3, 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 Clarksville Eye Clinic LLC was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.