JOHNSON CITY EYE SURGERY CENTER NPI 1720012701

NPI Information

  • NPI: 1720012701
  • Provider Name: JOHNSON CITY EYE SURGERY CENTER
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Address: 110 MED TECH PKWY
    SUITE 2
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 722-0371

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NPI Details

JOHNSON CITY EYE SURGERY CENTER is an ophthalmologic surgery clinic center in Johnson City, TN. JOHNSON CITY EYE SURGERY CENTER NPI is 1720012701. The provider is registered as an organization entity type.

The provider's business location address is:

110 MED TECH PKWY
SUITE 2
JOHNSON CITY, TN
ZIP 37604-004
Phone: (423) 722-0371
Fax: (423) 722-0365

The provider's authorized official is Connie S Stufflestreet .
The authorized official title is Compliance Officer and has the following contact phone number (423) 722-0340.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Repair of brow paralysis (HCPCS:67900)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Removal of implant material from inside of eye (HCPCS:67121)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of membrane of retina (HCPCS:67041)
  • Temporary closure of eyelids by suture (HCPCS:67875)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/31/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic Surgery0000000145TENNESSEEYes

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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