Provider Demographics
NPI:1114157294
Name:THE FAMILY EYE SITE INC.
Entity Type:Organization
Organization Name:THE FAMILY EYE SITE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:901-351-1666
Mailing Address - Street 1:7174 BRUNSWICK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-9608
Mailing Address - Country:US
Mailing Address - Phone:901-351-1666
Mailing Address - Fax:901-829-4102
Practice Address - Street 1:1658 APPLING RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-4924
Practice Address - Country:US
Practice Address - Phone:901-379-2021
Practice Address - Fax:901-385-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2690152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty