Organization
CALVERT OPTHALMOLOGY PSC
Active
Other names
CALVERT OPHTHALMOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD MILTON CALVERT (PRESIDENT/MD)
(270) 886-2050
Entity
Organization
Contact information
Practice address
290 CLEAR SKY COURT, CLARKSVILLE, TN 37043
(931) 647-4900
(931) 647-1333
Mailing address
100 KEETON DRIVE, HOPKINSVILLE, KY 42240-8756
(270) 886-2050
(270) 886-2007
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000035976
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01035351
TN AMERIGROUP
TN
01
—
180045298
RAILROAD MEDICARE
TN
05
—
3704121
—
TN
01
—
4061554
BLUECROSS GROUP
TN
Enumeration date
03/28/2008
Last updated
07/06/2020
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