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Contact Information

CLARKSVILLE EYE CLINIC LLC
1111A FORT CAMPBELL BLVD
CLARKSVILLE, TN37042
 Phone: 931-645-0346
 Fax: 931-645-0348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CLARKSVILLE EYE CLINIC LLC

NPI Number 1649474263
LBN Legal business name CLARKSVILLE EYE CLINIC LLC
Authorized official MATTHEW DREW - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2007
Last updated 04/15/2019 - About 7 years ago
Identifiers
TN License # 2519
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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