SOUTHEAST EYE SPECIALISTS, PLLC – NPI #1750981189
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

SOUTHEAST EYE SPECIALISTS, PLLC is an ophthalmologist located in SODDY-DAISY, TN. NPPES has assigned the NPI number 1750981189 to SOUTHEAST EYE SPECIALISTS, PLLC on October 26, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SOUTHEAST EYE SPECIALISTS, PLLC is also known by the name SOUTHEAST EYE SPECIALISTS - SODDY DAISY. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 6 years ago on Oct 28, 2020. 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 SOUTHEAST EYE SPECIALISTS, PLLC below.

NPI Profile for
SOUTHEAST EYE SPECIALISTS, PLLC

NPI Number
1750981189
Enumeration Date

(more than 5 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
SOUTHEAST EYE SPECIALISTS, PLLC
Other Name: SOUTHEAST EYE SPECIALISTS - SODDY DAISY
Primary location
9453 DAYTON PIKE
SODDY-DAISY, TN 37379-4751
Phone: (423) 508-7337 Fax: (423) 508-7338
Mailing address
341 COOL SPRINGS BLVD STE 400
FRANKLIN, TN 37067-7224
Phone: (615) 349-8965 Fax:
Organization Subpart
Yes - SOUTHEAST EYE SPECIALISTS, PLLC is subpart of another organization.
Authorized Official
STACEY CRUDUP
CHIEF COMPLIANCE OFFICER
Phone: (615) 234-0450
Updated
Certification Date
Oct 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHEAST EYE SPECIALISTS, PLLC

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
OTHERMEDICARE PIN3721447
OTHERMEDICARE PINGRP6156
MEDICAIDGA524169578A
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
207W00000X
- Ophthalmology (Primary)

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.