Eye Care Center Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE CENTER ASSOCIATES PA

Practice address

1100 N Jackson St
Tullahoma, TN 37388-2336

Phone

(931) 393-2020

Fax

(931) 455-6501

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Daryl Demonbreun

Title

Administrator

Phone

(931) 393-2020

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: gowen@ecca.intellechartdirect.net
• Direct secure messaging: hnorris@ecca.intellechartdirect.net
• Direct secure messaging: abell@ecca.intellechartdirect.net
• Direct secure messaging: rcollier@ecca.intellechartdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Sherlin Bell, OD

  • Optometrist
  • Tullahoma, TN
  • NPI 1811982978
  Medicare reassignment Care Compare group NPD
• Grace Elizabeth Owens, OD

  • Optometrist
  • Tullahoma, TN
  • NPI 1790671089
  Medicare reassignment Care Compare group NPD
• Robert Craig Collier, MD

  • Retina Specialist (Ophthalmology) Physician
  • Tullahoma, TN
  • NPI 1518952597
  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1699760900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882336",
            "telephone_number": "931-393-2020",
            "fax_number": "931-455-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882336",
            "telephone_number": "931-393-2020",
            "fax_number": "931-455-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "DEMONBREUN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-393-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE MD'S AND OD'S GROUP",
            "identifier": "C30028",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0534110001",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3702334",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3940053",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Estes, NP
• Elizabeth Leanne Evans, B.A.
• Excel Eyecare PC, Inc
• Expedited Medical Services, LLC
• Eye Associates Optical, LLC.
• Eye M D Ophthalmology PLLC
• Eyecare Plus TH PLLC
• Miranda Ezell, LMSW
• Family Practice Center of Tullahoma LLC
• Nicholas Fannin

• Optometrist in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.