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FAMILY EYECARE CENTER OF JOHNSON CITY PLLC NPI 1902144256


NPI Information

NPI: 1902144256
Provider Name: FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
1207 N ROAN ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 928-1010
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FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC is a corneal and contact management optometrist in Johnson City, 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. FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC NPI is 1902144256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1207 N ROAN ST
JOHNSON CITY, TN
ZIP 37601-974
Phone: (423) 928-1010
Fax: (423) 928-9090

The provider's authorized official is Dana A. Grist .
The authorized official title is Owner and has the following contact phone number (423) 928-1010.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 5/3/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision TherapyNo
2152WC0802XOptometristCorneal and Contact ManagementYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103G702480MEDICARE PINTENNESSEE

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

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