Eye Care Group, PLLC
Organization Active NPI Eyewear Supplier · Humboldt, TN
NPI 1730106220 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1730106220
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- EYE CARE GROUP, PLLC
- Practice address
- 2439 N Central Ave
Humboldt, TN 38343-1753 - Phone
- (731) 784-1186
- Fax
- (731) 784-8228
- NPI assigned
- Jul 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- EYE CARE GROUP, PLLC
Authorized official
- Name
- Dr. Phillip Earl Agee, O D
- Title
- Chief Manager
- Phone
- (731) 784-1186
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Eye Care Group PLLC
Locations
2439 N Central Ave
Humboldt, TN 38343
Phone (731) 784-1186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
2439 N Central Ave
Humboldt, TN 38343-1753
Mailing address
PO Box 509
Humboldt, TN 38343-0509
Phone (731) 784-1186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105755 | Other | TN | BLUE CROSS BLUE SHIELD |
Other providers in Humboldt, TN
- Emma Stubblefield Dull
- Brianna Dunker
- Warner Benjamin Dunlap
- Dynamic Family Care Center
- Executive Level Wellness
- Eye Care Group, PLLC
- Alesha Adams Ezelle
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Alayna Felker
All providers in Humboldt, TN · Eyewear Supplier in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2008. 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.