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LIGHTHOUSE OPTICAL OF TENNESSEE LLC NPI 1609066703


NPI Information

NPI: 1609066703
Provider Name: LIGHTHOUSE OPTICAL OF TENNESSEE, LLC

Doing Business As: HORNER RAUSCH SUPER OPTICAL OF COOKEVILLE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
430 NEAL ST
COOKEVILLE, TN
ZIP 38501
Phone: (931) 528-6411
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LIGHTHOUSE OPTICAL OF TENNESSEE, LLC is an optometrist in Cookeville, TN. The provider is 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. LIGHTHOUSE OPTICAL OF TENNESSEE, LLC NPI is 1609066703. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Horner Rausch Super Optical Of Cookeville.

The provider's business location address is:

430 NEAL ST
COOKEVILLE, TN
ZIP 38501-916
Phone: (931) 528-6411
Fax: (931) 372-0380

The provider's authorized official is Stephen Morgan Richardson .
The authorized official title is Optometrist/owner and has the following contact phone number (931) 528-6411.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 4/5/2023.


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
1152W00000XOptometristOD T-1155TENNESSEEYes

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
13087067OTHERTENNESSEEBLUE CROSS BLUE SHIELD TN
23945214OTHERTENNESSEEGROUP PROVIDER NUMBER
33596618MEDICAIDTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.