Provider Demographics
NPI:1841462884
Name:GEORGE CHEIJ
Entity type:Organization
Organization Name:GEORGE CHEIJ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:NICOLAS
Authorized Official - Last Name:CHEIJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-385-2020
Mailing Address - Street 1:4306 HARDING PIKE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5212
Mailing Address - Country:US
Mailing Address - Phone:615-385-2020
Mailing Address - Fax:615-385-5591
Practice Address - Street 1:4306 HARDING PIKE
Practice Address - Street 2:SUITE 304
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-5212
Practice Address - Country:US
Practice Address - Phone:615-385-2020
Practice Address - Fax:615-385-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3725700Medicaid
TN4091372OtherBCBS
TN4172452OtherBCBS
TN4091372OtherBCBS