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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