| NPI | 1003437138 |
|---|---|
| Other Name | SOUTHEAST EYE SPECIALISTS MIDDLE TN |
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELLE CRUDUP Chief Compliance Officer 615-234-0450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0009X Ophthalmology, Glaucoma Specialist | |
| 207WX0107X Ophthalmology, Retina Specialist | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-10-28 |