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RIVER VALLEY EYE CLINIC P C NPI 1316009319


NPI Information

NPI: 1316009319
Provider Name: RIVER VALLEY EYE CLINIC P C
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 44D1026073

Address:
215 HOLLY LN
WAVERLY, TN
ZIP 37185
Phone: (931) 296-1990
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RIVER VALLEY EYE CLINIC P C is an optometrist in Waverly, TN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. RIVER VALLEY EYE CLINIC P C NPI is 1316009319. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 HOLLY LN
WAVERLY, TN
ZIP 37185-531
Phone: (931) 296-1990
Fax: (931) 296-1899

The provider's authorized official is Nancy Marie Thompson .
The authorized official title is Office Manager and has the following contact phone number (931) 296-1990.

The CLIA number assigned to this NPI record is 44D1026073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/17/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOD0000002255TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15012530001MEDICARE NSCTENNESSEE
23719356MEDICAIDTENNESSEE
3U91213MEDICARE UPINTENNESSEE
43719356MEDICARE PINTENNESSEE

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: 5/5/2024

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