Southeast Eye Specialists Middle Tn
LBN: Southeast Eye Specialists Pllc
Southeast Eye Specialists Middle Tn is an health care organization with primary practice located at 28 White Bridge Road Suite 208, Nashville TN 37205. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Southeast Eye Specialists Pllc can be contacted via phone (615) 327-2001, or through Crudup, Stacey Michelle via phone (615) 234-0450.
Contact Information
Primary practice address
28 White Bridge Road Suite 208
Nashville TN 37205
Phone: (615) 327-2001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ||
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X |
Profile Details
| NPI number | 1003437138 |
|---|---|
| LBN Legal business name | Southeast Eye Specialists Pllc |
| DBA Doing business as | Southeast Eye Specialists Middle Tn |
| Authorized official | Crudup, Stacey Michelle |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 29th, 2020 |
| Last updated | Oct 28th, 2020 - about 6 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 | 1003437138 | NPPES |
| Georgia | MEDICAID | 524169578A | |
| Georgia | MEDICAID | 3721447 | |
| Georgia | Other | GRP6156 | |
| Georgia | MEDICAID | GRP6156 | |
| Georgia | Other | 3721447 |
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