Southeastern Retina Associates, P.C. in Knoxville - Retina Specialist
Southeastern Retina Associates, P.C. - NPI 1932370145
Southeastern Retina Associates, P.C. is a Retina Specialist in Knoxville, Tennessee. Southeastern Retina Associates, P.C. practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Southeastern Retina Associates, P.C. is 1932370145. The last update date is 2021-01-18.
Southeastern Retina Associates, P.C.'s current location address is 320 Prosperity Dr, Knoxville, Tennessee. You can contact this provider via phone number 4235784364 and fax number 4235784372. The mailing address for Southeastern Retina Associates, P.C. is 320 Prosperity Dr, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Retina Associates, P.C. |
|---|---|
| Address | 320 Prosperity Dr, Knoxville, Tennessee |
| Phone Number | 4235784364 |
| Fax Number | 4235784372 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Laverghetta Andrew |
| Telephone Number | 8655880811 |
NPI Number Detail
| NPI Number | 1932370145 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2021-01-18 |
Provider Mailing Address Detail
| Address | 320 Prosperity Dr |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379234709 |
| Phone Number | 4235784364 |
| Fax Number | 4235784372 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89011K5 | NC | -- | |
| CD7808 | TN | RAILROAD MEDICARE | |
| 3715424 | TN | -- | |
| CG2897 | VA | RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Southeastern Retina Associates, P.C. by the Centers for Medicare & Medicaid Services?
The Southeastern Retina Associates, P.C. has been assigned the NPI (National Provider Identifier) 1932370145. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southeastern Retina Associates, P.C. located?
The Southeastern Retina Associates, P.C. is located at 320 Prosperity Dr, Knoxville, TN 379234709.
What is Southeastern Retina Associates, P.C.'s area of expertise and its corresponding taxonomy classification?
The Southeastern Retina Associates, P.C.'s field of specialization is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their areas of practice.
On what date did Southeastern Retina Associates, P.C. receive its 1932370145 assignment from the Centers for Medicare & Medicaid Services?
The Southeastern Retina Associates, P.C. was assigned its 1932370145 on 2008-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Southeastern Retina Associates, P.C.'s details last updated?
The information pertaining to the Southeastern Retina Associates, P.C., including its address, specialty, and other details, was most recently updated on 2021-01-18.