NPI 1497809248 · live from the CMS NPI Registry
Advanced Eye Care,P.C.
Ophthalmology in Jasper, TN. National Provider Identifier 1497809248, active.
NPI record
| NPI | 1497809248 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 980 Highway 28 Ste 104, Jasper, TN 37347 |
| Practice phone | 423-403-4202 |
| Enumerated | January 22, 2007 |
| Last updated | August 11, 2021 |
| Authorized official | Lawrence Debarge, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Uveitis and Ocular Inflammatory Disease | 207WX0108X | — |
| Ophthalmology | 207W00000X | 035850 (GA) |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.