WEST TENNESSEE EYE ASSOCIATES PC NPI 1811054232

NPI Information

  • NPI: 1811054232
  • Provider Name: WEST TENNESSEE EYE ASSOCIATES PC
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Organization
  • :
  • Address: 112 STONEBRIDGE BLVD
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 664-1994

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NPI Details

WEST TENNESSEE EYE ASSOCIATES PC is a corneal and contact management optometrist in Jackson, TN. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. WEST TENNESSEE EYE ASSOCIATES PC NPI is 1811054232. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

112 STONEBRIDGE BLVD
JACKSON, TN
ZIP 38305-038
Phone: (731) 664-1994
Fax: (731) 664-2903

The provider's authorized official is Sandy Fish .
The authorized official title is Office Manager and has the following contact phone number (731) 664-1994.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/11/2025.

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
1152W00000XOptometristOD1410TENNESSEENo
2152WX0102XOptometristOccupational VisionMD019471TENNESSEENo
3152WC0802XOptometristCorneal and Contact ManagementMD38610TENNESSEEYes

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
13044467MEDICAIDTENNESSEE
23896438MEDICAIDTENNESSEE
33598351MEDICAIDTENNESSEE

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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