Organization
MOUNTAIN EMPIRE EYE PHYSICIANS PLLC
Active
Organization
MOUNTAIN EMPIRE EYE PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACY F. PERDUE MBA (ADMINISTRATOR)
(423) 968-7555
Entity
Organization
Contact information
Practice address
3185 WEST STATE STREET, SUITE 2010, BRISTOL, TN 37620
(423) 968-7555
(423) 968-7641
Mailing address
2010 BREMO RD STE 128A, RICHMOND, VA 23226-2444
(877) 969-0392
(423) 968-7641
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG3621
RAILROAD MEDICARE
GA
01
—
CG3622
RAILROAD MEDICARE
VA
Enumeration date
10/02/2006
Last updated
03/11/2025
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