Provider Demographics
NPI:1982760229
Name:EYE CARE CENTERS PLLC
Entity Type:Organization
Organization Name:EYE CARE CENTERS PLLC
Other - Org Name:LENOIR CITY EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:865-988-6649
Mailing Address - Street 1:2497 S ROANE ST
Mailing Address - Street 2:STE 110
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8670
Mailing Address - Country:US
Mailing Address - Phone:865-988-6649
Mailing Address - Fax:865-988-6546
Practice Address - Street 1:721 HIGHWAY 321 N
Practice Address - Street 2:STE 3
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-5003
Practice Address - Country:US
Practice Address - Phone:865-988-6649
Practice Address - Fax:865-988-6546
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE CARE CENTERS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-29
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3942648Medicare PIN
TN3942640Medicare PIN
TN3942649Medicare PIN