MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER NPI 1245340603

NPI Information

NPI: 1245340603
Provider Name: MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3185 W STATE ST
SUITE 2020
BRISTOL, TN
ZIP 37620
Phone: (423) 968-4141
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MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER is an ambulatory surgical clinic center in Bristol, TN. MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER NPI is 1245340603. The provider is registered as an organization entity type.

The provider's business location address is:

3185 W STATE ST
SUITE 2020
BRISTOL, TN
ZIP 37620-610
Phone: (423) 968-4141
Fax: (423) 968-7641

The provider's authorized official is Amy Burton .
The authorized official title is Manager and has the following contact phone number (877) 969-0392.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/2/2021.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	152	TENNESSEE	Yes

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
1	4068468	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
2	P00056474	OTHER	TENNESSEE	RAILROAD MEDICARE
3	TN0101	OTHER	TENNESSEE	JOHN DEERE HEALTH CARE
4	010024676	MEDICAID	VIRGINIA
5	019997	OTHER	VIRGINIA	ANTHEM

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

NPI Synchronization or Removal

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