Organization
SOUTHEAST EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL LEE MCDANIEL M.D. (MEDICAL DIRECTOR)
(865) 966-7337
Entity
Organization
Contact information
Practice address
1400 DOWELL SPRINGS BLVD, STE 300, KNOXVILLE, TN 37909-2456
(865) 602-7978
(865) 602-7979
Mailing address
1400 DOWELL SPRINGS BLVD, STE 300, KNOXVILLE, TN 37909-2456
(865) 966-7337
(865) 966-7339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224
TN DEPT OF HEALTH
TN
01
—
APPLYING FOR
APPLYING FOR MEDICARE PIN
TN
Enumeration date
02/07/2013
Last updated
04/14/2025
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