Provider Demographics
NPI:1184860769
Name:THOMPSON AND LETT EYE CARE, PLLC
Entity Type:Organization
Organization Name:THOMPSON AND LETT EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHANCEY
Authorized Official - Last Name:LETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:423-309-1098
Mailing Address - Street 1:7161 LEE HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-8608
Mailing Address - Country:US
Mailing Address - Phone:423-305-7272
Mailing Address - Fax:
Practice Address - Street 1:7161 LEE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8608
Practice Address - Country:US
Practice Address - Phone:423-305-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT892152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3944720Medicaid
TNU86532Medicare UPIN
TN6244570001Medicare NSC
TN3944720Medicare PIN
TNT61236Medicare UPIN
TN3944720Medicaid
TN3595267Medicare PIN
TNP00775412Medicare PIN