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Organization

THE REEVES EYE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNY L REEVES M.D. (OWNER)
(423) 722-1311
Entity
Organization

Contact information

Practice address
2328 KNOB CREEK RD, SUITE 506, JOHNSON CITY, TN 37604-2584
(423) 722-1311
(423) 926-0529
Mailing address
2328 KNOB CREEK RD, SUITE 506, JOHNSON CITY, TN 37604-2584
(423) 722-1311
(423) 926-0529

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
38547
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010089018
VA
01
3895953
MEDICARE
Enumeration date
12/19/2011
Last updated
03/15/2016
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