Provider Demographics
NPI:1457987273
Name:EYECARE PLUS WB, PLLC
Entity type:Organization
Organization Name:EYECARE PLUS WB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHEYANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-988-5303
Mailing Address - Street 1:339 WHITE BRIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3208
Mailing Address - Country:US
Mailing Address - Phone:615-988-5303
Mailing Address - Fax:615-731-9994
Practice Address - Street 1:339 WHITE BRIDGE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3208
Practice Address - Country:US
Practice Address - Phone:615-988-5303
Practice Address - Fax:615-731-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
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 - Multi-Specialty