NPI 1578773263 · live from the CMS NPI Registry
Complete Eye Care, PC
Ophthalmology in Soddy Daisy, TN. National Provider Identifier 1578773263, active.
NPI record
| NPI | 1578773263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 9453 Dayton Pike, Soddy Daisy, TN 37379 |
| Practice phone | 423-332-8222 |
| Enumerated | May 23, 2007 |
| Last updated | January 20, 2015 |
| Authorized official | John Bonner, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier (Equipment, not the service) | 332H00000X | 28919 (TN) |
| Ophthalmology primary | 207W00000X | MD0000028919 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.