MOUNTAIN EMPIRE EYE PHYSICIANS PLLC NPI 1609969682

NPI Information

  • NPI: 1609969682
  • Provider Name: MOUNTAIN EMPIRE EYE PHYSICIANS PLLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 44D1009070
  • Address: 3185 WEST STATE STREET
    SUITE 2010
    BRISTOL, TN
    ZIP 37620
  • Phone: (423) 968-7555

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NPI Details

MOUNTAIN EMPIRE EYE PHYSICIANS PLLC is an ophthalmology in Bristol, 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. MOUNTAIN EMPIRE EYE PHYSICIANS PLLC NPI is 1609969682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3185 WEST STATE STREET
SUITE 2010
BRISTOL, TN
ZIP 37620
Phone: (423) 968-7555
Fax: (423) 968-7641

The provider's authorized official is Stacy F. Perdue .
The authorized official title is Administrator and has the following contact phone number (423) 968-7555.

The CLIA number assigned to this NPI record is 44D1009070 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/11/2025.

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
1207W00000XOphthalmologyYes

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
1CG3621OTHERGEORGIARAILROAD MEDICARE
2CG3622OTHERVIRGINIARAILROAD MEDICARE

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: 11/21/2025

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