Provider Demographics
NPI:1457545139
Name:EYE CARE ASSOCIATES OF SEVIER COUNTY
Entity Type:Organization
Organization Name:EYE CARE ASSOCIATES OF SEVIER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-453-3619
Mailing Address - Street 1:1285 DOLLY PARTON PKWY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3705
Mailing Address - Country:US
Mailing Address - Phone:865-453-3619
Mailing Address - Fax:865-428-5168
Practice Address - Street 1:1285 DOLLY PARTON PKWY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3705
Practice Address - Country:US
Practice Address - Phone:865-453-3619
Practice Address - Fax:865-428-5168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty