Eye Care Group, Pllc

LBN: Eye Care Group, Pllc
Eye Care Group, Pllc is an health care organization with primary practice located at 2300 Amanda Ave , Dyersburg TN 38024-1961. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Eye Care Group, Pllc can be contacted via phone (731) 286-1002, or through Agee, Phillip Earl via phone (731) 784-1186.

Contact Information

Primary practice address
2300 Amanda Ave Dyersburg TN 38024-1961
Phone: (731) 286-1002
Fax: (731) 286-6231
Website:
Map and Directions
Authorized official contact:
Name: Agee, Phillip Earl Doctor of Optometry (OD)
Phone: (731) 784-1186

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1831128768
LBN Legal business name Eye Care Group, Pllc
DBA Doing business as
Authorized official Agee, Phillip Earl Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 2nd, 2006
Last updated May 15th, 2008 - about 17 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 1831128768 NPPES
Tennessee Other 4105755 BLUE CROSS BLUE SHIELD

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