Provider Demographics
NPI:1225417447
Name:COLLINS EYE CENTER, PLLC
Entity Type:Organization
Organization Name:COLLINS EYE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:GARRY
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-218-0306
Mailing Address - Street 1:409 ROYAL XING
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8909
Mailing Address - Country:US
Mailing Address - Phone:615-218-0306
Mailing Address - Fax:
Practice Address - Street 1:115 PENN WARREN DR
Practice Address - Street 2:SUITE4 450
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5047
Practice Address - Country:US
Practice Address - Phone:615-447-9850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT1301152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty