Organization
KNOXVILLE EYE SURGERY CENTER LLC
Active
Other names
Tennessee Valley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BURNETTE (BUSINESS OFFICE MANAGER)
(865) 251-0338
Entity
Organization
Contact information
Practice address
160 CAPITAL DR, KNOXVILLE, TN 37922-3343
(865) 251-0338
(865) 985-0325
Mailing address
160 CAPITAL DR, KNOXVILLE, TN 37922-3343
(865) 251-0338
(865) 985-0325
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3123485
BCBS OF TN
TN
05
—
3288304
—
TN
01
—
490004267
CRMC OF TN
TN
01
—
7600000800
KYMK
KY
Enumeration date
11/02/2006
Last updated
05/10/2021
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