Southeast Eye Specialists Middle Tn

LBN: Southeast Eye Specialists Pllc
Southeast Eye Specialists Middle Tn is an health care organization with primary practice located at 28 White Bridge Road Suite 208, Nashville TN 37205. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Southeast Eye Specialists Pllc can be contacted via phone (615) 327-2001, or through Crudup, Stacey Michelle via phone (615) 234-0450.

Contact Information

Primary practice address
28 White Bridge Road Suite 208 Nashville TN 37205
Phone: (615) 327-2001
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crudup, Stacey Michelle
Phone: (615) 234-0450

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X

Profile Details

NPI number 1003437138
LBN Legal business name Southeast Eye Specialists Pllc
DBA Doing business as Southeast Eye Specialists Middle Tn
Authorized official Crudup, Stacey Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2020
Last updated Oct 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003437138 NPPES
Georgia MEDICAID 524169578A
Georgia MEDICAID 3721447
Georgia Other GRP6156
Georgia MEDICAID GRP6156
Georgia Other 3721447

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