Complete Eye Care, PC
Organization Active NPI Ophthalmology Physician · Soddy Daisy, TN
NPI 1578773263 · NPPES record last updated Jan 20, 2015
Key facts
- NPI
- 1578773263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD0000028919 (TN)
- Legal business name
- COMPLETE EYE CARE, PC
- Practice address
- 9453 Dayton Pike
Soddy Daisy, TN 37379-4751 - Phone
- (423) 332-8222
- Fax
- (423) 332-8278
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
- Name
- John D. Bonner, M.D.
- Title
- President
- Phone
- (423) 332-8222
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | MD0000028919 | TN | Yes |
| Eyewear Supplier | 332H00000X | 28919 | TN |
Addresses
Primary practice location
9453 Dayton Pike
Soddy Daisy, TN 37379-4751
Mailing address
9453 Dayton Pike
Soddy Daisy, TN 37379-4751
Phone (423) 332-8222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3375048 | Medicaid | TN |
Other providers in Soddy Daisy, TN
- Casandra L. Cansler, MD, PC
- Jeff Shawn Cemel
- Patricia Dianna Cerantonio
- Neil Chivington
- Starr Lynnette Clark
- Megan Conley
- Cornerstone Caregiving East LLC
- County of Hamilton, Hamilton County Government
- Krista Cowan
- Amber Cunningham
All providers in Soddy Daisy, 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 Jan 20, 2015. 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.