NPIMap

Organization Active NPI

Eye Care Associates of Co, LLC

  • Optometrist
  • Cordova, TN
National Provider Identifier
1114736725
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES OF CO, LLC
Practice address
7865 Trinity Rd Ste 104
Cordova, TN 38018-2274
Phone
(901) 753-7100
Fax
(901) 753-3688
NPI assigned
Jan 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Deppen
Title
Dir of RCM
Phone
(937) 539-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7865 Trinity Rd Ste 104
Cordova, TN 38018-2274

Mailing address

230 Kings Hwy E Ste 333
Haddonfield, NJ 08033-1907

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Associates of Co LLC34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

230 Kings Hwy E
Haddonfield, NJ 08033
Phone (856) 617-4858

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1114736725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KINGS HWY E STE 333",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 TRINITY RD STE 104",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182274",
            "telephone_number": "901-753-7100",
            "fax_number": "901-753-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "DEPPEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIR OF RCM",
        "authorized_official_telephone_number": "937-539-8057"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.