Wilson County Eye Surgery Ctr

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILSON COUNTY EYE SURGERY CTR

Practice address

1670 W Main St
Ste 120
Lebanon, TN 37087-1344

Phone

(615) 453-5155

Fax

(615) 444-5915

NPI assigned

Apr 12, 2007

Last updated

Feb 2, 2009By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1063636850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST",
            "address_2": "STE 120",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871344",
            "telephone_number": "615-453-5155",
            "fax_number": "615-444-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST",
            "address_2": "STE 120",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871344",
            "telephone_number": "615-453-5155",
            "fax_number": "615-444-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNTY EYE SURGERY CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DMERC",
            "identifier": "1238610001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William E Willis Jr., DDS
• Wilson County Board of Education
• Wilson County Eye Associates, LLC (Lebanon Eye Clinic)
• Wilson County Eye Surgery Center, LLC (Wilson County Anesthesia)
• Wilson County Eye Surgery Center, LLC
• Wilson County Finance Department (Wilson Emergency Management Agency)
• Damaris Wilson, SLP-CCC
• Avory Winans
• Keith T Winfree, APRN-C
• Elizabeth McCall Winton, M.S.

• Durable Medical Equipment & Medical Supplies in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• 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.

Verify at the official NPI Registry.