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SOUTHEAST EYE SPECIALISTS PLLC NPI 1518961176


NPI Information

NPI: 1518961176
Provider Name: SOUTHEAST EYE SPECIALISTS PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 44D1043211

Address:
7268 JARNIGAN RD
SUITE 200
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 508-7337
Get Directions

SOUTHEAST EYE SPECIALISTS PLLC is an ophthalmology in Chattanooga, 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 1518961176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7268 JARNIGAN RD
SUITE 200
CHATTANOOGA, TN
ZIP 37421-097
Phone: (423) 508-7337
Fax: (423) 508-7338

The provider's authorized official is Daryl Francis Mann .
The authorized official title is Center Director and has the following contact phone number (423) 508-7337.

The CLIA number assigned to this NPI record is 44D1043211 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 4/29/2020.


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
1207WX0009XOphthalmologyGlaucoma SpecialistNo
2152W00000XOptometristNo
3207WX0107XOphthalmologyRetina SpecialistNo
4207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistNo
5207WX0120XOphthalmologyCornea and External Diseases SpecialistNo
6207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryNo
7363A00000XPhysician AssistantNo
8207W00000XOphthalmologyYes

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
1524169578AMEDICAIDGEORGIA
23721447MEDICAIDTENNESSEE
3GRP6156MEDICAIDGEORGIA

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: 4/28/2024

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.