Southeast Eye Specialists Pllc
LBN: Southeast Eye Specialists Pllc
Southeast Eye Specialists Pllc is an health care organization with primary practice located at 7268 Jarnigan Rd Suite 200, Chattanooga TN 37421-3097. The organization recently has 6 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, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Southeast Eye Specialists Pllc can be contacted via phone (423) 508-7337, or through Mann, Daryl Francis via phone (423) 508-7337.
Contact Information
Primary practice address
7268 Jarnigan Rd Suite 200
Chattanooga TN 37421-3097
Phone: (423) 508-7337
Fax: (423) 508-7338
Website:
Authorized official contact:
Name: Mann, Daryl Francis Doctor of Optometry (OD)
Phone: (423) 508-7337
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 | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1518961176 |
|---|---|
| LBN Legal business name | Southeast Eye Specialists Pllc |
| DBA Doing business as | |
| Authorized official | Mann, Daryl Francis Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Apr 29th, 2020 - about 4 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 | 1518961176 | NPPES |
| Tennessee | MEDICAID | 3721447 | |
| Tennessee | MEDICAID | GRP6156 | |
| Tennessee | MEDICAID | 524169578A |
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