Active NPI
Southeast Eye Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTHEAST EYE SURGERY CENTER, LLC
- Practice address
- 1400 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909-2456 - Phone
- (865) 602-7978
- Fax
- (865) 602-7979
- NPI assigned
- Feb 7, 2013
- Last updated
- Sep 14, 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
- Stephanie Painter
- Title
- Ao
- Phone
- (423) 643-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1400 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909-2456
Mailing address
PO Box 306308
Nashville, TN 37230-6308
Phone (865) 966-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131001000422 | TN | Part B Supplier - Ambulatory Surgical Center | 8022242239 | Practice locations: Knoxville, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Southeast Eye Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2063268 | Southeast Eye Surgery Center LLC | Certificate of waiver | Jul 30, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10025 Investment Dr
Ste 140
Knoxville, TN 37932
Phone (865) 364-1122
1400 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 371-8573
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Chattanooga, TN
- NPI 1477557148
-
- Glaucoma Specialist (Ophthalmology) Physician
- Knoxville, TN
- NPI 1790754190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1447599659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306308",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306308",
"telephone_number": "865-966-7337",
"fax_number": "865-966-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DOWELL SPRINGS BLVD",
"address_2": "STE 300",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092456",
"telephone_number": "865-602-7978",
"fax_number": "865-602-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST EYE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "PAINTER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "423-643-3937"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.