Organization
EYE SURGERY CENTER OF NASHVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN O'CONNOR (OFFICER/AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
310 25TH AVE N, STE 105, NASHVILLE, TN 37203-1515
(615) 329-9023
(615) 329-1665
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 763-3859
(972) 920-3445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000013
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288598
—
TN
01
—
490005354
RAILROAD MEDICARE
TN
Enumeration date
05/23/2006
Last updated
01/23/2025
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