Organization
SOUTHERN TENNESSEE EYE SPECIALISTS INC.
Active
Organization
SOUTHERN TENNESSEE EYE SPECIALISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD PETER KAVOUSSI M.D. (OWNER)
(901) 854-6220
Entity
Organization
Contact information
Practice address
336 POPLAR VIEW PKWY, SUITE 1, COLLIERVILLE, TN 38017-3436
(901) 854-6220
(901) 854-6808
Mailing address
336 POPLAR VIEW PKWY, SUITE 1, COLLIERVILLE, TN 38017-3436
(901) 854-6220
(901) 854-6808
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12179
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871694877
PERSONAL NPI NUMBER
TN
01
—
1982802559
GROUP NPI
TN
Enumeration date
07/05/2007
Last updated
03/27/2012
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