Organization
SOUTHERN EYECARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA M PISH OD (OWNER/OPTOMETRIST)
(423) 876-1492
Entity
Organization
Contact information
Practice address
5764 HIGHWAY 153, HIXSON, TN 37343-3727
(423) 876-1492
(423) 876-0159
Mailing address
2503 JEFFERY DR, CHATTANOOGA, TN 37421-1918
(423) 876-1492
(423) 876-0159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD000001665
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4022309
BCBS
TN
01
—
410047075
RAILROAD MEDICARE
TN
01
—
910601
HEALTHSPRING
TN
Enumeration date
07/06/2006
Last updated
06/16/2010
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