Active NPI
Eyedeal Surgical Services, LLC
- Certified Registered Nurse Anesthetist
- Bristol, TN
National Provider Identifier
1285592816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- EYEDEAL SURGICAL SERVICES, LLC
- Practice address
- 3185 W State St Ste 2020
Bristol, TN 37620-1600 - Phone
- (423) 968-4141
- Fax
- (423) 968-7641
- NPI assigned
- Jan 13, 2026
- Last updated
- Jan 13, 2026
- 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
- Dr. Joshua Hicks, MD
- Title
- Managing Member
- Phone
- (336) 407-1941
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
3185 W State St Ste 2020
Bristol, TN 37620-1600
Mailing address
450 Douglas Chapel Rd
Jonesborough, TN 37659-3547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Bristol, TN
- NPI 1851545677
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1215944103
-
- Certified Registered Nurse Anesthetist
- Briston, TN
- NPI 1881772267
-
- Certified Registered Nurse Anesthetist
- Kingsport, TN
- NPI 1437247772
-
- Ophthalmology Physician
- Bristol, TN
- NPI 1306956776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1285592816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 DOUGLAS CHAPEL RD",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376593547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3185 W STATE ST STE 2020",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201600",
"telephone_number": "423-968-4141",
"fax_number": "423-968-7641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEDEAL SURGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "336-407-1941",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.