| Chattanooga Vision Center, Plc | |
|
2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 | |
| (423) 870-4900 | |
| (423) 870-5889 |
| Full Name | Chattanooga Vision Center, Plc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2158 Northgate Park Ln, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982679296 | NPI | - | NPPES |
| 3711088 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Thomas M Reynolds |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003815580 PECOS PAC ID: 4981689080 Enrollment ID: I20050131000863 |
| Provider Name | Lauren G Windham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285946459 PECOS PAC ID: 6002097672 Enrollment ID: I20110302000497 |
| Provider Name | Jon Caleb Hildebrand |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457748501 PECOS PAC ID: 4587985601 Enrollment ID: I20190626003346 |
| Provider Name | Courtney Webb Ridner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346228426 PECOS PAC ID: 4486819844 Enrollment ID: I20230912000340 |
| Provider Name | Matthew S. James |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871568246 PECOS PAC ID: 3577507755 Enrollment ID: I20250224000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Chattanooga Vision Center, Plc 2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 Ph: (423) 870-4900 | Chattanooga Vision Center, Plc 2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 Ph: (423) 870-4900 |