EYE CARE CENTER ASSOCIATES PA - NPI 1699760900 - Optometrist in Tullahoma, TN

Q: What is Eye Care Center Associates PA's NPI number?

The NPI number for Eye Care Center Associates PA is 1699760900. It was assigned to this organization in the NPPES registry on September 13, 2005.

Q: What is Eye Care Center Associates PA's specialty?

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

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About Eye Care Center Associates Pa NPPES

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

EYE CARE CENTER ASSOCIATES PA (NPI 1699760900) is a healthcare organization registered as an optometrist in Tullahoma, Tennessee and active in the NPI registry since September 2005. The organization lists Daryl Demonbreun, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699760900

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEYE CARE CENTER ASSOCIATES PA

Location Address1100 N JACKSON STTullahoma, TN 37388-2336

Mailing Address1100 N Jackson StTullahoma, TN 37388-2336 · (931) 393-2020 · Fax (931) 455-6501

Phone(931) 393-2020

Fax(931) 455-6501

Organization SubpartNo

Authorized OfficialDaryl DemonbreunAdministrator · (931) 393-2020

Enumeration DateSeptember 13, 2005

Last NPPES UpdateOctober 16, 2012

✔ NPI 1699760900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

Also ListedOphthalmologyTaxonomy 207W00000X

1100 N JACKSON ST, Tullahoma, TN 37388

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Other Identifiers 6

Medicare PIN3702334TN

Medicaid3702334TN

OtherC30028TN · Railroad Medicare Md's And Od's Group

Medicaid3940053TN

Other0534110001TN · Medicare Dme

Medicare PIN3940053TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 9

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

JAMES HARRELL BLANKS OD

Optometrist