Lebanon Eye Associates
Organization Active NPI Ophthalmology Physician · Woodbury, TN
NPI 1407097736 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1407097736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 25834 (TN)
- Legal business name
- LEBANON EYE ASSOCIATES
- Practice address
- 370 Doolittle Rd
Suite 4
Woodbury, TN 37190-1129 - Phone
- (615) 453-5155
- Fax
- (615) 444-5915
- NPI assigned
- Mar 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Kimberly A Franks
- Title
- Administrator
- Phone
- (615) 453-5155
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Lebanon Eye Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 25834 | TN | Yes |
Addresses
Primary practice location
370 Doolittle Rd
Suite 4
Woodbury, TN 37190-1129
Mailing address
1670 W Main St
Suite 100
Lebanon, TN 37087-1344
Phone (615) 453-5155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3389788 | Medicaid | TN |
Other names
- THE EYE CENTER
Other providers in Woodbury, TN
- Lisa M Klieger
- Lindsey Jordan Koenig
- Ishani Rajeshkumar Lad
- Cassie Lang
- Laser Therapy Body Inc
- Alexa Lieberman
- Life Center for a New Tomorrow, LLC
- Lise LLC
- Live the Dream Center, Inc
- Christopher Lombardi
All providers in Woodbury, TN · Ophthalmology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.