| Antioch Eye Care Center, Physician & Surgeon, Pllc | |
|
522 Bell Rd, Antioch, TN 37013-2002 | |
| (615) 361-7266 | |
| Not Available |
| Full Name | Antioch Eye Care Center, Physician & Surgeon, Pllc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 522 Bell Rd, Antioch, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629477831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 49780 (Tennessee) | Primary |
| Provider Name | Joseph W Lutche |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447348677 PECOS PAC ID: 4688761620 Enrollment ID: I20071107000537 |
| Provider Name | Benyamin Y Ebrahim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508024415 PECOS PAC ID: 1456596626 Enrollment ID: I20130604000102 |
| Provider Name | Ryan Drumright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689938060 PECOS PAC ID: 2062731383 Enrollment ID: I20171024002000 |
| Provider Name | Mariam Girges |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1376156554 PECOS PAC ID: 4183039217 Enrollment ID: I20210223000099 |
| Provider Name | Marina Naguib |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487222964 PECOS PAC ID: 4981072865 Enrollment ID: I20221128000538 |
| Provider Name | Obed Eduardo Perez De La Pena |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356003966 PECOS PAC ID: 8921492414 Enrollment ID: I20230131000618 |
| Provider Name | Kirolos Ibrahim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700318821 PECOS PAC ID: 8628314416 Enrollment ID: I20240509001409 |
| Provider Name | Claire Beaird |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942981576 PECOS PAC ID: 2961858436 Enrollment ID: I20240520000502 |
| Provider Name | Merna Abdelmalak Ghobrial |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699516674 PECOS PAC ID: 8628516606 Enrollment ID: I20240821004084 |
| Mailing Address | Practice Location Address |
|---|---|
| Antioch Eye Care Center, Physician & Surgeon, Pllc 554 Bell Rd, Antioch, TN 37013-2002 Ph: (615) 361-7266 | Antioch Eye Care Center, Physician & Surgeon, Pllc 522 Bell Rd, Antioch, TN 37013-2002 Ph: (615) 361-7266 |