Eye Care Center Associates Pa
LBN: Eye Care Center Associates Pa
Eye Care Center Associates Pa is an health care organization with primary practice located at 1100 N Jackson St , Tullahoma TN 37388-2336. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Eye Care Center Associates Pa can be contacted via phone (931) 393-2020, or through Demonbreun, Daryl via phone (931) 393-2020.
Contact Information
Primary practice address
1100 N Jackson St
Tullahoma TN 37388-2336
Phone: (931) 393-2020
Fax: (931) 455-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1699760900 |
|---|---|
| LBN Legal business name | Eye Care Center Associates Pa |
| DBA Doing business as | |
| Authorized official | Demonbreun, Daryl |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Oct 16th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699760900 | NPPES |
| Tennessee | Other | C30028 | RAILROAD MEDICARE MD'S AND OD'S GROUP |
| Tennessee | Other | 0534110001 | RAILROAD MEDICARE MD'S AND OD'S GROUP |
| Tennessee | MEDICAID | 3702334 | RAILROAD MEDICARE MD'S AND OD'S GROUP |
| Tennessee | MEDICAID | 3940053 | RAILROAD MEDICARE MD'S AND OD'S GROUP |
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