WILSON COUNTY EYE SURGERY CENTER, LLC – NPI #1407992878
Clinic/Center

WILSON COUNTY EYE SURGERY CENTER, LLC is an AHC clinic located in LEBANON, TN. NPPES has assigned the NPI number 1407992878 to WILSON COUNTY EYE SURGERY CENTER, LLC on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Feb 02, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILSON COUNTY EYE SURGERY CENTER, LLC below.

NPI Profile for
WILSON COUNTY EYE SURGERY CENTER, LLC

NPI Number
1407992878
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILSON COUNTY EYE SURGERY CENTER, LLC
Primary location
1670 W MAIN ST
SUITE 120
LEBANON, TN 37087-1344
Phone: (615) 453-5155 Fax:
Mailing address
1670 WEST MAIN ST
SUITE 120
LEBANON, TN 37087
Phone: (615) 453-5155 Fax:
Organization Subpart
No
Authorized Official
VIVIAN RAGSDALE
BILLING MANAGER
Phone: (615) 453-4906
Updated
Identifiers

Identifiers for WILSON COUNTY EYE SURGERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDTN3122518
OTHERRR MEDICARETN490005524
MEDICAIDTN3288111
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
TN 103

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.