Southeastern Retina Associates, P.C.

LBN: Southeastern Retina Associates, P.C.
Southeastern Retina Associates, P.C. is an health care organization with primary practice located at 1605 Williams Rd Ste 201 , Hixson TN 37343-4934. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Southeastern Retina Associates, P.C. can be contacted via phone (423) 756-1002, or through Laverghetta, Andrew via phone (865) 474-7596.

Contact Information

Primary practice address
1605 Williams Rd Ste 201 Hixson TN 37343-4934
Phone: (423) 756-1002
Fax: (423) 756-1004
Website:
Map and Directions
Authorized official contact:
Name: Laverghetta, Andrew
Phone: (865) 474-7596

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1104097310
LBN Legal business name Southeastern Retina Associates, P.C.
DBA Doing business as
Authorized official Laverghetta, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Jan 16th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104097310 NPPES
Tennessee MEDICAID 3715425

Popular Providers