Organization
WILSON COUNTY EYE ASSOCIATES, LLC
Active
Parent organization
WILSON COUNTY EYE ASSOCIATES, LLC
Other names
Lebanon Eye Clinic, Mt Juliet Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON COUNTY EYE ASSOCIATES, LLC
Authorized official
JEREMY C SCOGGINS OD (OWNER)
(615) 491-4245
Entity
Organization
Contact information
Practice address
615 S CUMBERLAND ST, LEBANON, TN 37087-5107
(615) 547-9670
(615) 832-4321
Mailing address
327 WINDHAVEN BAY, MT JULIET, TN 37122-6912
(615) 491-4245
(615) 832-4321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944398
—
TN
Enumeration date
05/25/2022
Last updated
09/27/2022
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