Provider Demographics
NPI:1265853253
Name:SUNSET EYE CARE PC
Entity Type:Organization
Organization Name:SUNSET EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTESON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:423-282-1472
Mailing Address - Street 1:302 SUNSET DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2408
Mailing Address - Country:US
Mailing Address - Phone:423-282-1742
Mailing Address - Fax:423-283-4924
Practice Address - Street 1:302 SUNSET DR
Practice Address - Street 2:SUITE 109
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2408
Practice Address - Country:US
Practice Address - Phone:423-282-1742
Practice Address - Fax:423-283-4924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2796152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty