SOUTHEASTERN RETINA ASSOCIATES, P.C. - NPI 1932200664

Q: What is the provider's specialty?

The provider's specialty is Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.

On this page

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

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 8

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

DR. ROBERT KEITH SHULER JR. MD

Ophthalmology (Retina Specialist)