Organization
CATARACT AND LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONEL PHIPPS (OPERATIONS MANAGER)
(931) 456-2728
Entity
Organization
Contact information
Practice address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 707-0704
(931) 707-7493
Mailing address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 707-0704
(931) 707-7493
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
0000000130
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288652
—
TN
Enumeration date
03/16/2006
Last updated
06/02/2023
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