Premier Eyecare, Pllc

LBN: Premier Eyecare, Pllc
Premier Eyecare, Pllc is an health care organization with primary practice located at 11121 Kingston Pike Suite A, Knoxville TN 37934-2890. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Premier Eyecare, Pllc can be contacted via phone (865) 966-0100, or through Fry, Brent B via phone (865) 966-0100.

Contact Information

Primary practice address
11121 Kingston Pike Suite A Knoxville TN 37934-2890
Phone: (865) 966-0100
Fax: (865) 966-0007
Website:
Map and Directions
Authorized official contact:
Name: Fry, Brent B Doctor of Optometry (OD)
Phone: (865) 966-0100

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TNOD1904 Tennessee

Profile Details

NPI number 1356546816
LBN Legal business name Premier Eyecare, Pllc
DBA Doing business as
Authorized official Fry, Brent B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2007
Last updated Aug 24th, 2007 - 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 1356546816 NPPES
Tennessee MEDICAID 3945177

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