All Eyes Vision Care, Inc.
Organization Active NPI Optometrist · Clarksville, TN
NPI 1366715906 · NPPES record last updated Feb 13, 2012
Key facts
- NPI
- 1366715906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2386 (TN)
- Legal business name
- ALL EYES VISION CARE, INC.
- Practice address
- 3315 Guthrie Hwy
Clarksville, TN 37040-5507 - Phone
- (931) 647-3208
- NPI assigned
- Feb 13, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisa Dye, O.D.
- Title
- Optometrist
- Phone
- (931) 647-3208
Practitioners 1
-
Lisa M Ely, O.D.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000357 | TN | Part B Supplier - Clinic/Group Practice | 0648430207 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarksville, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2386 | TN | Yes |
Addresses
Primary practice location
3315 Guthrie Hwy
Clarksville, TN 37040-5507
Mailing address
3315 Guthrie Hwy
Clarksville, TN 37040-5507
Phone (931) 647-3208
Other names
- All Eyes Vision Care
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2012. 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.