SOUTHEAST VISION REHABILITATION PLLC NPI 1104262773

NPI Information

  • NPI: 1104262773
  • Provider Name: SOUTHEAST VISION REHABILITATION, PLLC
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Organization
  • Address: 1043 EXECUTIVE DR
    SUITE 102
    HIXSON, TN
    ZIP 37343
  • Phone: (423) 321-8233

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NPI Details

SOUTHEAST VISION REHABILITATION, PLLC is a low vision rehabilitation optometrist in Hixson, TN. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. SOUTHEAST VISION REHABILITATION, PLLC NPI is 1104262773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1043 EXECUTIVE DR
SUITE 102
HIXSON, TN
ZIP 37343-997
Phone: (423) 321-8233
Fax: (423) 321-8325

The provider's authorized official is Heather Mcbryar .
The authorized official title is Owner/optometrist and has the following contact phone number (423) 321-8233.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 5/22/2013.

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
1152W00000XOptometristNo
2152WL0500XOptometristLow Vision RehabilitationYes

What is NPI?

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This page was last updated on: 3/30/2025

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