| Eye Center Of Oak Ridge,pc | |
|
90 Vermont Ave, Oak Ridge, TN 37830-6474 | |
| (865) 482-8890 | |
| (865) 482-7400 |
| Full Name | Eye Center Of Oak Ridge,pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 90 Vermont Ave, Oak Ridge, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235201393 | NPI | - | NPPES |
| 1104420001 | Other | PGBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Heather R Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669428454 PECOS PAC ID: 7416846357 Enrollment ID: I20040310001564 |
| Provider Name | Bradley J Luttrell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508850298 PECOS PAC ID: 5890777973 Enrollment ID: I20040602001426 |
| Provider Name | James E Kuneman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699769521 PECOS PAC ID: 3476522491 Enrollment ID: I20040927001132 |
| Provider Name | Kathryn R Baker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649351479 PECOS PAC ID: 2365519287 Enrollment ID: I20080918000436 |
| Provider Name | Natalie L Frasier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164655205 PECOS PAC ID: 0244377489 Enrollment ID: I20091021000350 |
| Provider Name | Thomas L Dahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619090370 PECOS PAC ID: 7315139151 Enrollment ID: I20101013000160 |
| Provider Name | Timothy P Powers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861486573 PECOS PAC ID: 1658476650 Enrollment ID: I20101130000121 |
| Provider Name | Eric Edward Speckner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972635910 PECOS PAC ID: 7719160852 Enrollment ID: I20110325000783 |
| Provider Name | Mia J Guillory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811186059 PECOS PAC ID: 7113007402 Enrollment ID: I20181126003875 |
| Provider Name | Ian Maisonville |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497360002 PECOS PAC ID: 1456752419 Enrollment ID: I20210628002547 |
| Provider Name | Whitley Lauren Shoemaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376112490 PECOS PAC ID: 2466855978 Enrollment ID: I20210721002506 |
| Provider Name | David Dawes Hessert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710966320 PECOS PAC ID: 2860681905 Enrollment ID: I20230505001129 |
| Provider Name | John Fletcher Robertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467145730 PECOS PAC ID: 4789046145 Enrollment ID: I20230816003334 |
| Provider Name | Mitchell Garrison Nash |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407484967 PECOS PAC ID: 7911329834 Enrollment ID: I20240718003398 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Center Of Oak Ridge,pc 90 Vermont Ave, Oak Ridge, TN 37830-6474 Ph: (865) 482-8890 | Eye Center Of Oak Ridge,pc 90 Vermont Ave, Oak Ridge, TN 37830-6474 Ph: (865) 482-8890 |