SOUTHEASTERN RETINA ASSOCIATES P.C. NPI 1932200664

NPI Information

SOUTHEASTERN RETINA ASSOCIATES, P.C. is a retina specialist ophthalmology in Knoxville, TN. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. SOUTHEASTERN RETINA ASSOCIATES, P.C. NPI is 1932200664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1124 E WEISGARBER RD
SUITE 207
KNOXVILLE, TN
ZIP 37909-686
Phone: (865) 588-0811
Fax: (865) 584-2153

The provider's authorized official is Andrew Laverghetta .
The authorized official title is Ceo and has the following contact phone number (865) 588-0811.

The CLIA number assigned to this NPI record is 44D2095771 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 1/16/2023.

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:

Other Identifiers

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

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