Andrew R. Schwichtenberg

LBN: Andrew R. Schwichtenberg
Andrew R. Schwichtenberg is an health care organization with primary practice located at 2829 E Oakland Ave Ste 1 , Johnson City TN 37601-1908. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Andrew R. Schwichtenberg can be contacted via phone (423) 283-4590, or through Schwichtenberg, Andrew R. via phone (423) 283-4590.

Contact Information

Primary practice address
2829 E Oakland Ave Ste 1 Johnson City TN 37601-1908
Phone: (423) 283-4590
Fax: (423) 283-0867
Website:
Map and Directions
Authorized official contact:
Name: Schwichtenberg, Andrew R. Doctor of Optometry (OD)
Phone: (423) 283-4590

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT1154 Tennessee

Profile Details

NPI number 1104017912
LBN Legal business name Andrew R. Schwichtenberg
DBA Doing business as
Authorized official Schwichtenberg, Andrew R. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Jul 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104017912 NPPES
Tennessee MEDICAID 3597385

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