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Organization

KINGSPORT TN OPHTHALMOLOGY ASC LLC

Active
Other names
The Regional Eye Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
999 EXECUTIVE PARK BLVD, SUITE 100, KINGSPORT, TN 37660-4632
(423) 247-2022
(423) 247-2027
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 263-4011
(615) 234-1720

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000158
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3288818
TN
01
P00057294
MEDICARE RAILROAD
TN
Enumeration date
02/13/2006
Last updated
08/27/2025
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