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COMPLETE EYE CARE PC NPI 1578773263


NPI Information

NPI: 1578773263
Provider Name: COMPLETE EYE CARE, PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
9453 DAYTON PIKE
SODDY DAISY, TN
ZIP 37379
Phone: (423) 332-8222
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COMPLETE EYE CARE, PC is an ophthalmology in Soddy Daisy, TN. The provider is 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. COMPLETE EYE CARE, PC NPI is 1578773263. The provider is registered as an organization entity type.

The provider's business location address is:

9453 DAYTON PIKE
SODDY DAISY, TN
ZIP 37379-751
Phone: (423) 332-8222
Fax: (423) 332-8278

The provider's authorized official is John D. Bonner .
The authorized official title is President and has the following contact phone number (423) 332-8222.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 1/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier28919TENNESSEENo
2207W00000XOphthalmologyMD0000028919TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13375048MEDICAIDTENNESSEE
24064430001MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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