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 1124 E Weisgarber Rd Suite 207, Knoxville TN 37909-2686. 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 (865) 588-0811, or through Laverghetta, Andrew via phone (865) 588-0811.
Contact Information
Primary practice address
1124 E Weisgarber Rd Suite 207
Knoxville TN 37909-2686
Phone: (865) 588-0811
Fax: (865) 584-2153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Tennessee | |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1932200664 |
|---|---|
| LBN Legal business name | Southeastern Retina Associates, P.C. |
| DBA Doing business as | |
| Authorized official | Laverghetta, Andrew CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932200664 | NPPES |
| Virginia | Other | CG2897 | RAILROAD MEDICARE |
| Virginia | Other | CL1229 | RAILROAD MEDICARE |
| Virginia | Other | CD7808 | RAILROAD MEDICARE |
| Virginia | MEDICAID | 3850174 | RAILROAD MEDICARE |
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