Provider Demographics
NPI:1417594532
Name:CHATTANOOGA EYE CARE
Entity Type:Organization
Organization Name:CHATTANOOGA EYE CARE
Other - Org Name:PATHWAY EYE COLLEGDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING/CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-321-1828
Mailing Address - Street 1:PO BOX 1189
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35612-1189
Mailing Address - Country:US
Mailing Address - Phone:256-233-2393
Mailing Address - Fax:256-233-2309
Practice Address - Street 1:5243 LITTLE DEBBIE PKWY STE 125
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-4515
Practice Address - Country:US
Practice Address - Phone:423-468-3305
Practice Address - Fax:423-468-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty