Provider Demographics
NPI:1083749352
Name:MCCABE VISION CENTER, P.C.
Entity Type:Organization
Organization Name:MCCABE VISION CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-904-9024
Mailing Address - Street 1:122 HERITAGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0563
Mailing Address - Country:US
Mailing Address - Phone:615-904-9024
Mailing Address - Fax:615-904-0337
Practice Address - Street 1:122 HERITAGE PARK DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0563
Practice Address - Country:US
Practice Address - Phone:615-904-9024
Practice Address - Fax:615-904-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031525207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty