Provider Demographics
NPI:1255386116
Name:EYECARE PLUS HV PLLC
Entity type:Organization
Organization Name:EYECARE PLUS HV PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHEYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-988-5303
Mailing Address - Street 1:386 W MAIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3349
Mailing Address - Country:US
Mailing Address - Phone:615-338-3602
Mailing Address - Fax:615-338-3606
Practice Address - Street 1:386 W MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3349
Practice Address - Country:US
Practice Address - Phone:615-338-3602
Practice Address - Fax:615-338-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2024-04-24
Deactivation Date:2024-02-23
Deactivation Code:
Reactivation Date:2024-04-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3725690Medicare UPIN
TN3725690Medicare ID - Type Unspecified