Retinal Eye Associates, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD 21605 Issued in TN

Legal business name

RETINAL EYE ASSOCIATES, PLLC

Practice address

1100 N Jackson St
Tullahoma, TN 37388-2336

Phone

(931) 393-2020

Fax

(931) 455-6501

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Collier, M.D.NPI 1518952597

Title

Owner/Physician

Phone

(931) 393-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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

• Robert Craig Collier, MD

  • Retina Specialist (Ophthalmology) Physician
  • Tullahoma, TN
  • NPI 1518952597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1801087234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373881567",
            "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": "RETINAL EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "931-393-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD 21605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG9738",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370129",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.