Active NPI
Lebanon Eye Associates PC
Doing business as The Eye Center
- Optometrist
- Lebanon, TN
National Provider Identifier
1003031626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LEBANON EYE ASSOCIATES PC
- Doing business as
- The Eye Center
- Practice address
- 1670 W Main St
Ste 100
Lebanon, TN 37087-1344 - Phone
- (615) 453-5155
- NPI assigned
- Apr 17, 2007
- Last updated
- Feb 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vivian L Ragsdale
- Title
- Billing Manager
- Phone
- (615) 453-5155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN | Primary |
Addresses
Primary practice location
1670 W Main St
Ste 100
Lebanon, TN 37087-1344
Mailing address
1670 W Main St
Ste 100
Lebanon, TN 37087-1344
Phone (615) 453-5155
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3942116 | Medicaid | TN | |
| 1238610001 | Other | TN | DMERC SUPPLIER |
| CL3416 | Other | TN | PALMETTO-GBA MEDICARE |
Other names 1
- THE EYE CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Lebanon Eye Associates
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233532800000",
"number": "1003031626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 W MAIN ST",
"address_2": "STE 100",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871344",
"telephone_number": "615-453-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 W MAIN ST",
"address_2": "STE 100",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871344",
"telephone_number": "615-453-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEBANON EYE ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2009-02-02",
"status": "A",
"authorized_official_last_name": "RAGSDALE",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "615-453-5155"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3942116",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC SUPPLIER",
"identifier": "1238610001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO-GBA MEDICARE",
"identifier": "CL3416",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE EYE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lebanon, TN
- Lebanon Digestive Disease
- Lebanon Emergency Physicians, PLLC
- Lebanon Endoscopy Center LLC (Lebanon Endoscopy Center)
- Lebanon Eye Associates (The Eye Center)
- Lebanon Eye Associates (The Eye Center)
- Lebanon Eye Associates PC (The Eye Center)
- Lebanon Family Dentistry LLC
- Lebanon Family Pharmacy, PLLC
- Lebanon General Practice Inc
- Lebanon Health Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.