Provider Demographics
NPI:1659452639
Name:EYECARE ASSOCIATES OF MORRISTOWN, INC.
Entity Type:Organization
Organization Name:EYECARE ASSOCIATES OF MORRISTOWN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:TOM
Authorized Official - Last Name:HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:423-581-2020
Mailing Address - Street 1:PO BOX 1695
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37816-1695
Mailing Address - Country:US
Mailing Address - Phone:423-581-2020
Mailing Address - Fax:423-581-2040
Practice Address - Street 1:1760 WEST MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2834
Practice Address - Country:US
Practice Address - Phone:423-581-2020
Practice Address - Fax:423-581-2040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOD614152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3945508Medicaid
TN3945508Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TN0420430001Medicare NSC