Advanced Eye Care,P.C.

Organization Active NPI Ophthalmology Physician · Jasper, TN

NPI 1497809248 · NPPES record last updated Aug 11, 2021

Key facts

NPI
1497809248
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
ADVANCED EYE CARE,P.C.
Practice address
980 Highway 28 Ste 104
Jasper, TN 37347-3696
Phone
(423) 403-4202
Fax
(423) 403-4207
NPI assigned
Jan 22, 2007
Organization subpart
No

Authorized official

Name
Lawrence Raymond Debarge, MD
Title
President
Phone
(423) 403-4202

National Provider Directory

Locations

980 Highway 28
Ste 104
Jasper, TN 37347
Phone (423) 403-4202

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207W00000X 035850 GA
Ophthalmology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207W00000X Yes
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207WX0108X

Addresses

Primary practice location

980 Highway 28 Ste 104
Jasper, TN 37347-3696

Mailing address

980 Highway 28 Ste 104
Jasper, TN 37347-3696
Phone (423) 403-4202

Other providers in Jasper, TN

All providers in Jasper, TN · Ophthalmology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.