Active NPI
Lebanon Eye Associates
Doing business as The Eye Center
- Ophthalmology Physician
- Carthage, TN
National Provider Identifier
1467643403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16211
- Legal business name
- LEBANON EYE ASSOCIATES
- Doing business as
- The Eye Center
- Practice address
- 300 Hospital Drive
Carthage, TN 37030 - Phone
- (615) 453-5155
- Fax
- (615) 444-5915
- NPI assigned
- Aug 6, 2007
- Last updated
- Nov 17, 2008
- 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
- Ms. Vivian L Ragsdale
- Title
- Administrator
- Phone
- (615) 453-5155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16211 | TN | Primary |
Addresses
Primary practice location
300 Hospital Drive
Carthage, TN 37030
Mailing address
1670 W Main St
Ste 100
Lebanon, TN 37087-1344
Phone (615) 453-5155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3389788 | Medicaid | TN |
Other names 1
- THE EYE CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Lebanon Eye Associates
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1467643403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 W MAIN ST",
"address_2": "STE 100",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871344",
"telephone_number": "615-453-5155",
"fax_number": "615-444-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL DRIVE",
"city": "CARTHAGE",
"state": "TN",
"postal_code": "37030",
"telephone_number": "615-453-5155",
"fax_number": "615-444-5915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEBANON EYE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "RAGSDALE",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "615-453-5155",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "16211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3389788",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE EYE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carthage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.