Eagleville Eye Clinic is a
Optometrist based in Eagleville, Tennessee. Eagleville Eye Clinic is licensed to practice in NU (license number ) and their current practice location is
355 S Main St, Eagleville, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(615) 274-2102.
NPI number for Eagleville Eye Clinic is 1679155204 and their current mailing address is Po Box 189, Eagleville, Tennessee. Eagleville Eye Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679155204.
Healthcare Provider's Profile
| Full Name | Eagleville Eye Clinic |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 355 S Main St, Eagleville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679155204
- Provider Enumeration Date: 04/23/2021
- Last Update Date: 04/23/2021
Medical Identifiers
Medical identifiers for Eagleville Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679155204 | NPI | - | NPPES |
| 3596683 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eagleville Eye Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eagleville Eye Clinic
Po Box 189,
Eagleville, TN 37060-0189
Ph: (615) 274-2102 | Eagleville Eye Clinic
355 S Main St,
Eagleville, TN 37060-4510
Ph: (615) 274-2102 |
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