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Organization
TENNESSEE RIVER EYE CLINIC
Active
Organization
TENNESSEE RIVER EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A KASSELS M.D. (OWNER PRESIDENT)
(256) 381-2020
Entity
Organization
Contact information
Practice address
1110 S. MONTGOMERY AVE, HELEN KELLER HOSPITAL CAMPUS, SHEFFIELD, AL 35660-6350
(256) 381-2020
(256) 381-7754
Mailing address
1110 S. MONTGOMERY AVE, HELEN KELLER HOSPITAL CAMPUS, SHEFFIELD, AL 35660-6350
(256) 381-2020
(256) 381-7754
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16162
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008486
—
AL
01
—
000008486A
BLUE CROSS
AL
01
—
0810284
SPA
SC
01
—
168150600
COMMERCIAL
AL
01
—
180036556
RAILROAD MEDICARE
—
01
—
261210236
COMMERCIAL
—
01
—
3125128
COMMERCIAL
AL
05
—
529901280
—
AL
01
—
5567071
COMMERCIAL
AL
Enumeration date
01/11/2007
Last updated
04/13/2022
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