Provider Demographics
NPI:1033256425
Name:NASHVILLE EYE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NASHVILLE EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ESTOPINAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-834-8310
Mailing Address - Street 1:397 WALLACE RD
Mailing Address - Street 2:C-310
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4854
Mailing Address - Country:US
Mailing Address - Phone:615-834-8310
Mailing Address - Fax:615-834-5242
Practice Address - Street 1:397 WALLACE RD
Practice Address - Street 2:C-310
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4854
Practice Address - Country:US
Practice Address - Phone:615-834-8310
Practice Address - Fax:615-834-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3702958Medicaid
TN3702958Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER