Complete Eye Care, Pc

LBN: Complete Eye Care, Pc
Complete Eye Care, Pc is an health care organization with primary practice located at 9453 Dayton Pike , Soddy Daisy TN 37379-4751. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Complete Eye Care, Pc can be contacted via phone (423) 332-8222, or through Bonner, John D. via phone (423) 332-8222.

Contact Information

Primary practice address
9453 Dayton Pike Soddy Daisy TN 37379-4751
Fax: (423) 332-8278
Website:
Authorized official contact:
Name: Bonner, John D. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000028919 Tennessee
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 28919 Tennessee

Profile Details

NPI number 1578773263
LBN Legal business name Complete Eye Care, Pc
DBA Doing business as
Authorized official Bonner, John D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jan 20th, 2015 - about 10 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 1578773263 NPPES
Tennessee MEDICAID 3375048

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