SOUTHEAST EYE SPECIALISTS - SODDY DAISY
NPI 1750981189
Ophthalmology in Soddy Daisy, TN

Q: What is Southeast Eye Specialists, PLLC's NPI number?

The NPI number for Southeast Eye Specialists, PLLC is 1750981189. It was assigned to this organization in the NPPES registry on October 26, 2020. The provider is also known as Southeast Eye Specialists - Soddy Daisy.

Q: What is Southeast Eye Specialists, PLLC's specialty?

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

Active since October 26, 2020

9453 DAYTON PIKE, SODDY DAISY, TN 37379(423) 508-7337(423) 508-7338 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeast Eye Specialists - Soddy Daisy NPPES

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

SOUTHEAST EYE SPECIALISTS - SODDY DAISY (NPI 1750981189) is a healthcare organization registered as an ophthalmology in Soddy Daisy, Tennessee and active in the NPI registry since October 2020. The organization lists Stacey Michelle Crudup, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1750981189

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameSOUTHEAST EYE SPECIALISTS, PLLC

Location Address9453 DAYTON PIKESoddy Daisy, TN 37379-4751

Mailing Address341 Cool Springs Blvd Ste 400Franklin, TN 37067-7224 · (615) 349-8965

Phone(423) 508-7337

Fax(423) 508-7338

Organization SubpartYes

Authorized OfficialStacey Michelle CrudupChief Compliance Officer · (615) 234-0450

Enumeration DateOctober 26, 2020

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1750981189 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.

9453 DAYTON PIKE, Soddy Daisy, TN 37379

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Other Names 1

Other NameSoutheast Eye Specialists - Soddy Daisy

Other Identifiers 3

Other3721447Medicare Pin

OtherGRP6156Medicare Pin

Medicaid524169578AGA

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

JACK B VONTILLIUS O.D.

Optometrist