Provider Type Icon

SOUTHEAST EYE SPECIALISTS PLLC NPI 1003437138


NPI Information

NPI: 1003437138
Provider Name: SOUTHEAST EYE SPECIALISTS PLLC

Other Name: SOUTHEAST EYE SPECIALISTS MIDDLE TN

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
28 WHITE BRIDGE ROAD
SUITE 208
NASHVILLE, TN
ZIP 37205
Phone: (615) 327-2001
Get Directions

SOUTHEAST EYE SPECIALISTS PLLC is an ophthalmology in Nashville, TN. The provider is 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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SOUTHEAST EYE SPECIALISTS PLLC NPI is 1003437138. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Southeast Eye Specialists Middle Tn.

The provider's business location address is:

28 WHITE BRIDGE ROAD
SUITE 208
NASHVILLE, TN
ZIP 37205
Phone: (615) 327-2001

The provider's authorized official is Stacey Michelle Crudup .
The authorized official title is Chief Compliance Officer and has the following contact phone number (615) 234-0450.

The enumeration date for this NPI number is 4/29/2020 and was last updated on 10/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207WX0009XOphthalmologyGlaucoma SpecialistNo
3207WX0107XOphthalmologyRetina SpecialistNo
4207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistNo
5207WX0120XOphthalmologyCornea and External Diseases SpecialistNo
6207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryNo
7207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP6156MEDICAIDGEORGIA
23721447OTHERTENNESSEEMEDICARE PIN
33721447MEDICAIDTENNESSEE
4524169578AMEDICAIDGEORGIA
5GRP6156OTHERMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.