Johnson City Eye Surgery Center in Johnson City - Ophthalmologic Surgery
Johnson City Eye Surgery Center - NPI 1720012701
Johnson City Eye Surgery Center is a Ophthalmologic Surgery in Johnson City, Tennessee. Johnson City Eye Surgery Center practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Johnson City Eye Surgery Center is 1720012701. The last update date is 2023-10-31.
Johnson City Eye Surgery Center's current location address is 110 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4237220371 and fax number 4237220365. The mailing address for Johnson City Eye Surgery Center is 110 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Johnson City Eye Surgery Center |
|---|---|
| Address | 110 Med Tech Pkwy, Johnson City, Tennessee |
| Phone Number | 4237220371 |
| Fax Number | 4237220365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COMPLIANCE |
|---|---|
| Authorized Official Name | Stufflestreet S Connie |
| Telephone Number | 4237220340 |
NPI Number Detail
| NPI Number | 1720012701 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2023-10-31 |
Provider Mailing Address Detail
| Address | 110 Med Tech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376044004 |
| Phone Number | 4237220371 |
| Fax Number | 4237220365 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmologic Surgery |
|---|---|
| Taxonomy | 261Qs0132X |
| Licence No | 145 |
|
Definition: Provides surgical procedures to treat eye conditions and disorders. |
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What is the unique 10-digit identifier code issued to Johnson City Eye Surgery Center by the Centers for Medicare & Medicaid Services?
The Johnson City Eye Surgery Center has been assigned the NPI (National Provider Identifier) 1720012701 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Johnson City Eye Surgery Center is geographically located?
The Johnson City Eye Surgery Center is physically situated at the following location: 110 Med Tech Pkwy, Johnson City, TN, 376044004.
What is Johnson City Eye Surgery Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Johnson City Eye Surgery Center's area of specialization is Ophthalmologic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 261Qs0132X.
On what date did the Johnson City Eye Surgery Center receive its 1720012701 assignment from the Centers for Medicare & Medicaid Services?
The Johnson City Eye Surgery Center was assigned its 1720012701 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the Johnson City Eye Surgery Center's details last updated?
The information pertaining to the Johnson City Eye Surgery Center, including its address, specialty, and other details, was most recently updated on 2023-10-31.