Eagle Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAGLE EYECARE PLLC

Practice address

3035 Hamilton Church Rd
Antioch, TN 37013-1429

Phone

(615) 705-8808

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Amgad Mikhaeil, ODNPI 1598498503

Title

Optometrist

Phone

(615) 720-8698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Amgad Mikhaeil, OD

  • Optometrist
  • Antioch, TN
  • NPI 1598498503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708819200000",
    "number": "1851152565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON CHURCH RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON CHURCH RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131429",
            "telephone_number": "615-705-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MIKHAEIL",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "615-720-8698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Micole Drumwright, CCC-SLP
• James L Ducklo, O.D.
• Augustina Chidiebere Durunna
• Patricia Louise Eachus, M.D.
• Eagle Eye Transportation LLC
• Early Bird Transportation LLC
• Jessica Dixon Easter
• Ebenezer Home of Tennessee, Inc. (Good Samaritan Health & Rehab Center)
• Benyamin Y Ebrahim, MD
• Sheredrick Anthony Edmundson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.