Mahan - Ridley Pllc
LBN: Eye M D Ophthalmology Pllc
Mahan - Ridley Pllc is an health care organization with primary practice located at 926 N Jackson St , Tullahoma TN 37388-2300. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Eye M D Ophthalmology Pllc can be contacted via phone (931) 393-6004, or through Mahan, Ben Bob via phone (931) 393-6004.
Contact Information
Primary practice address
926 N Jackson St
Tullahoma TN 37388-2300
Phone: (931) 393-6004
Fax: (931) 393-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TN-OD-T394 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | TN MD18870 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | TN MD 9867 | Tennessee |
Profile Details
| NPI number | 1407984396 |
|---|---|
| LBN Legal business name | Eye M D Ophthalmology Pllc |
| DBA Doing business as | Mahan - Ridley Pllc |
| Authorized official | Mahan, Ben Bob Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Aug 22nd, 2017 - about 7 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 | 1407984396 | NPPES |
| Tennessee | MEDICAID | 3711455 |
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