Southern Eyecare Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD000001665 Issued in TN

Legal business name

SOUTHERN EYECARE ASSOCIATES INC

Practice address

5764 Highway 153
Hixson, TN 37343-3727

Phone

(423) 876-1492

Fax

(423) 876-0159

NPI assigned

Jul 6, 2006

Last updated

Jun 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christina M Pish, ODNPI 1003025172

Title

Owner/Optometrist

Phone

(423) 876-1492

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Marie Pish, O.D.

  • Optometrist
  • Hixson, TN
  • NPI 1003025172
  Medicare reassignment NPD Authorized official
• Brett David McDonough, OD

  • Optometrist
  • Chattanooga, TN
  • NPI 1063504108
  NPD (past)
• Christiana Vanzant Montgomery, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1669550786
  NPD (past)
• Cliff M Caudill, OD

  • Optometrist
  • Pikeville, KY
  • NPI 1841300712
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1881625770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 JEFFERY DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211918",
            "telephone_number": "423-876-1492",
            "fax_number": "423-876-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 HIGHWAY 153",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433727",
            "telephone_number": "423-876-1492",
            "fax_number": "423-876-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYECARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PISH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "423-876-1492",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD000001665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047075",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4022309",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "910601",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett C Soulen, DDS
• Southeast Senior Services LLC.
• Southeast Vision Rehabilitation, PLLC
• Southeastern Dental Associates of Hixson
• Southeastern Retina Associates, P.C.
• Lauren Taylor Souza, PA-C, DMS, MSW
• Amanda Yvette Sovago-Royal, LMT
• Specialized Oxygen Services, LLC
• Owen F Speer, DO
• Neil Howard Spitalny, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.