# TENNESSEE RIVER EYE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548310741
- **Authorized official:** MARK A KASSELS M.D. (OWNER PRESIDENT)
- **Authorized official phone:** (256) 381-2020

## Contact information

- **Practice address:** 1110 S. MONTGOMERY AVE, HELEN KELLER HOSPITAL CAMPUS, SHEFFIELD, AL 35660-6350
- **Practice address phone:** (256) 381-2020
- **Practice address fax:** (256) 381-7754
- **Mailing address:** 1110 S. MONTGOMERY AVE, HELEN KELLER HOSPITAL CAMPUS, SHEFFIELD, AL 35660-6350
- **Mailing address phone:** (256) 381-2020
- **Mailing address fax:** (256) 381-7754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 16162 | AL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 04/13/2022

## 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 |