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 2412 N John B Dennis Hwy , Kingsport TN 37660-4772. 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) 578-4364, or through Laverghetta, Andrew via phone (865) 588-0811.
Contact Information
Primary practice address
2412 N John B Dennis Hwy
Kingsport TN 37660-4772
Phone: (423) 578-4364
Fax: (423) 578-4372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1932370145 |
|---|---|
| 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 | Feb 15th, 2024 - about last year |
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 | 1932370145 | NPPES |
| Tennessee | Other | CD7808 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3715424 | RAILROAD MEDICARE |
| Tennessee | Other | CG2897 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 89011K5 | RAILROAD MEDICARE |
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