Advanced Eye Care,P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 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

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Raymond Debarge, MD

Title

President

Phone

(423) 403-4202

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1497809248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28 STE 104",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473696",
            "telephone_number": "423-403-4202",
            "fax_number": "423-403-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28 STE 104",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473696",
            "telephone_number": "423-403-4202",
            "fax_number": "423-403-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE CARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "DEBARGE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-403-4202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "035850",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agilitas USA, Inc (Results Physiotherapy)
• William Randolph Allen, OD
• Frances H Barnett, M.D.
• Shelia Beard, LPC
• Benchmark Healthcare Services LLC

• Ophthalmology Physician in Jasper, TN
• Providers in Jasper, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.