Provider Demographics
NPI:1326747957
Name:CLINE EYECARE, INC
Entity Type:Organization
Organization Name:CLINE EYECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:276-970-1070
Mailing Address - Street 1:235 CLINEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24630-8470
Mailing Address - Country:US
Mailing Address - Phone:276-970-1070
Mailing Address - Fax:
Practice Address - Street 1:12588 GOVERNOR G C PEERY HWY
Practice Address - Street 2:
Practice Address - City:POUNDING MILL
Practice Address - State:VA
Practice Address - Zip Code:24637-3549
Practice Address - Country:US
Practice Address - Phone:276-963-7400
Practice Address - Fax:276-963-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty