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Organization
KINGSPORT TN OPHTHALMOLOGY ASC LLC
Active
Organization
KINGSPORT TN OPHTHALMOLOGY ASC LLC
Active
Other names
The Regional Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
999 EXECUTIVE PARK BLVD, SUITE 100, KINGSPORT, TN 37660-4632
(423) 247-2022
(423) 247-2027
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 263-4011
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000158
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288818
—
TN
01
—
P00057294
MEDICARE RAILROAD
TN
Enumeration date
02/13/2006
Last updated
08/27/2025
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