Provider Demographics
NPI:1578772612
Name:EYE SPECIALISTS ASSOCIATION PC
Entity Type:Organization
Organization Name:EYE SPECIALISTS ASSOCIATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURREY
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:901-754-0930
Mailing Address - Street 1:1900 KIRBY PKWY STE 100B
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3653
Mailing Address - Country:US
Mailing Address - Phone:901-754-0930
Mailing Address - Fax:901-754-0949
Practice Address - Street 1:1900 KIRBY PKWY STE 100B
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3653
Practice Address - Country:US
Practice Address - Phone:901-754-0930
Practice Address - Fax:901-754-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD3404207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3385159Medicare ID - Type UnspecifiedGROUP ID NUMBER