Eye Centers of Tennessee, LLC
Organization Active NPI Optometrist · Tompkinsville, KY
NPI 1104770718 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1104770718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYE CENTERS OF TENNESSEE, LLC
- Practice address
- 22 Executive Dr
Tompkinsville, KY 42167-7478 - Phone
- (270) 487-5741
- NPI assigned
- Feb 23, 2026
- Organization subpart
- No
Authorized official
- Name
- Sheena Monique Lee
- Title
- Director of Operations
- Phone
- (931) 456-2728
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 7
Practitioners 18
-
Steven K Birge, O.D.
-
Larry E. Patterson, M.D.
-
Philip M Brock, OD
-
James M Grisolano Jr., M.D.
-
Amy S. Johnson, M.D.
-
Andrew David Johnson, M.D.
-
Amanda J Kirk, O.D.
-
David F Merritt, OD
-
Joshua Oliver, OD
-
Michael David Patterson, D.O.
-
Holly N Pendel, OD
-
Stephen M Richardson, O.D.
-
Jordan D Smith, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260626000598 | KY | Part B Supplier - Clinic/Group Practice | 1355379256 |
Receives reassigned benefits from 1 practitioner Practice locations: Tompkinsville, KY |
National Provider Directory
- Tax ID family
- Eye Centers of Tennessee LL
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
22 Executive Dr
Tompkinsville, KY 42167-7478
Mailing address
15 Iris LN
Crossville, TN 38555-7528
Phone (931) 456-2728
Other providers in Tompkinsville, KY
- Kenneth Ray Crabtree
- Cumberland Family Medical Center Inc
- Ronilo Diaz
- Dr. Rebecca Greer
- Elite Case Management Services, LLC
- Family Medical Healthcare Center PSC
- Michael Gesler
- Charity Gravile
- Rebecca Lynn Greer
- Mikayla Grosko
All providers in Tompkinsville, KY · Optometrist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.