Organization
NASHVILLE TN OPHTHALMOLOGY ASC LLC
Active
Other names
LVC Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
907 RIVERGATE PKWY, SUITE C 2020, GOODLETTSVILLE, TN 37072-2324
(615) 859-3121
(615) 859-3941
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(615) 859-3121
(615) 859-3941
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739734
—
TN
Enumeration date
06/07/2006
Last updated
09/07/2023
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