Organization
EYE CENTERS OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND K MAYS (ADMINISTRATOR)
(931) 456-2728
Entity
Organization
Contact information
Practice address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Mailing address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
MD16334
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144522
BLUE CROSS BLUE SHIELD
TN
05
—
3943261
—
TN
Enumeration date
03/19/2007
Last updated
04/26/2021
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