Lebanon Eye Assocstones River in Lebanon - Ophthalmology

Lebanon Eye Assocstones River - NPI 1053533315

Lebanon Eye Assocstones River is a Ophthalmology in Lebanon, Tennessee. Lebanon Eye Assocstones River practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Lebanon Eye Assocstones River is 1053533315. The last update date is 2009-02-02.

Lebanon Eye Assocstones River's current location address is 1670 W Main St, Lebanon, Tennessee. You can contact this provider via phone number 6154535155 and fax number 6154445915. The mailing address for Lebanon Eye Assocstones River is 1670 W Main St, Lebanon, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lebanon Eye Assocstones River
Address 1670 W Main St, Lebanon, Tennessee
Phone Number 6154535155
Fax Number 6154445915
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING MA
Authorized Official Name Ragsdale L Vivian
Telephone Number 6154535155

NPI Number Detail

NPI Number 1053533315
Provider Enumeration Date 2007-05-03
Last Updated Date 2009-02-02

Provider Mailing Address Detail

Address 1670 W Main St
City Lebanon
State Tennessee (TN)
Post Code 370871344
Phone Number 6154535155
Fax Number 6154445915

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 1520
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2003288 TN TENNCARE SELECT
2003288 TN BLUE CROSS BLUE SHIELD

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FAQs about Lebanon Eye Assocstones River

What is the unique provider identifier assigned to Lebanon Eye Assocstones River?

The Lebanon Eye Assocstones River has been issued the NPI (National Provider Identifier) 1053533315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Lebanon Eye Assocstones River is physically located?

The Lebanon Eye Assocstones River is situated at the following address: 1670 W Main St, Lebanon, TN 370871344.

What is Lebanon Eye Assocstones River's area of expertise and its corresponding taxonomy classification?

The Lebanon Eye Assocstones River's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Lebanon Eye Assocstones River receive the assignment of its 1053533315 from the Centers for Medicare & Medicaid Services?

The Lebanon Eye Assocstones River was issued its 1053533315 by the Centers for Medicare & Medicaid Services on 2007-05-03.

As of what date were the details related to Lebanon Eye Assocstones River most recently updated or revised?

The information pertaining to Lebanon Eye Assocstones River, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-02.

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