Provider Demographics
NPI:1255513388
Name:SPRING HILL EYECARE, PLLC
Entity type:Organization
Organization Name:SPRING HILL EYECARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:REISS
Authorized Official - Last Name:SZELIGA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:931-489-1950
Mailing Address - Street 1:5328 MAIN ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2481
Mailing Address - Country:US
Mailing Address - Phone:931-489-1950
Mailing Address - Fax:931-489-1953
Practice Address - Street 1:5328 MAIN ST
Practice Address - Street 2:SUITE K
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2481
Practice Address - Country:US
Practice Address - Phone:931-489-1950
Practice Address - Fax:931-489-1953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2599332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNV07664Medicare UPIN
TN6048130001Medicare NSC