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Contact Information

COMPLETE EYE CARE, PC
9453 DAYTON PIKE
SODDY-DAISY, TN37379-4751
 Phone: 423-332-8222
 Fax: 423-332-8278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COMPLETE EYE CARE, PC

NPI Number 1578773263
LBN Legal business name COMPLETE EYE CARE, PC
Authorized official JOHN BONNER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2007
Last updated 01/20/2015 - About 11 years ago
Identifiers
TN License # 28919
TN License # MD0000028919
TN Medicaid 3375048
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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