SOUTHEASTERN RETINA ASSOCIATES, P.C.
NPI 1932200664
Ophthalmology - Retina Specialist in Knoxville, TN

Q: What is Southeastern Retina Associates, P.C.'s NPI number?

The NPI number for Southeastern Retina Associates, P.C. is 1932200664. It was assigned to this organization in the NPPES registry on September 26, 2006.

Q: What is Southeastern Retina Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Active since September 26, 2006

1342 OLD WEISGARBER RD, KNOXVILLE, TN 37909(865) 588-0811 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2023, Jul 21, 2022, Jan 18, 2021 and 2 more (5 updates tracked since 2020).

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About Southeastern Retina Associates, P.c. NPPES

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

SOUTHEASTERN RETINA ASSOCIATES, P.C. (NPI 1932200664) is a healthcare organization registered as a retina specialist in Knoxville, Tennessee and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Knoxville and lists Andrew Laverghetta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932200664

Entity TypeOrganization

Primary Taxonomy207WX0107X

Legal Business NameSOUTHEASTERN RETINA ASSOCIATES, P.C.

Location Address1342 OLD WEISGARBER RDKnoxville, TN 37909-1291

Mailing Address9050 Executive Park Dr Ste 202aKnoxville, TN 37923-4670 · (865) 588-0811 · Fax (865) 934-3892

Phone(865) 588-0811

Organization SubpartNo

Authorized OfficialAndrew LaverghettaCeo · (865) 588-0811

Enumeration DateSeptember 26, 2006

Last NPPES UpdateOctober 22, 20255 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1932200664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X

1342 OLD WEISGARBER RD, Knoxville, TN 37909

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Secondary Practice Location 1

Location 11124 E Weisgarber Rd, Suite 207Knoxville, TN 37909-2686 · Phone (865) 588-0811 · Fax (865) 584-2153

Other Identifiers 4

OtherCL1229TN · Railroad Medicare

Medicaid3850174TN

OtherCG2897VA · Railroad Medicare

OtherCD7808TN · Railroad Medicare

Group Practice 2

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

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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)

Southeastern Retina Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 22 clinicians reassign Medicare billing to Southeastern Retina Associates, P.C., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 22

Nicholas Anderson, M.D.

Ophthalmology

NPI 1972509297