Eye Associates Optical, LLC.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EYE ASSOCIATES OPTICAL, LLC.

Practice address

926 N Jackson St
Tullahoma, TN 37388-2332

Phone

(931) 461-0222

Fax

(931) 393-4156

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ben Bob Mahan, M.D.NPI 1881690311

Title

Owner

Phone

(931) 461-0222

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ben B Mahan, M.D.

  • Ophthalmology Physician
  • Tullahoma, TN
  • NPI 1881690311
  NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1851420954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882332",
            "telephone_number": "931-461-0222",
            "fax_number": "931-393-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882332",
            "telephone_number": "931-461-0222",
            "fax_number": "931-393-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OPTICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-461-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521802",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

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

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