Provider Demographics
NPI:1720433303
Name:CENTER FOR SIGHT
Entity Type:Organization
Organization Name:CENTER FOR SIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TWEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-546-7140
Mailing Address - Street 1:7800 CONNER RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3511
Mailing Address - Country:US
Mailing Address - Phone:865-546-7140
Mailing Address - Fax:865-546-8048
Practice Address - Street 1:7800 CONNER RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3511
Practice Address - Country:US
Practice Address - Phone:865-546-7140
Practice Address - Fax:865-546-8048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0282262207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0698870001Medicare NSC
TN3389320Medicare PIN