| Eye Centers Of Tennessee, Llc | |
|
15 Iris Ln, Crossville, TN 38555-7528 | |
| (931) 456-2728 | |
| (931) 456-5446 |
| Full Name | Eye Centers Of Tennessee, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 15 Iris Ln, Crossville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104940790 | NPI | - | NPPES |
| 3943261 | Medicaid | TN | |
| 3144522 | Other | TN | BLUE CROSS BLUE SHIELD |
| Provider Name | Heather Kay Brown-conner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891851937 PECOS PAC ID: 4284603994 Enrollment ID: I20040929000856 |
| Provider Name | Larry E Patterson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851394241 PECOS PAC ID: 1052402096 Enrollment ID: I20070806000752 |
| Provider Name | Jordan D Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225292139 PECOS PAC ID: 0941377998 Enrollment ID: I20080917000603 |
| Provider Name | David Merritt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831231158 PECOS PAC ID: 2163542481 Enrollment ID: I20101007000743 |
| Provider Name | Stephen Morgan Richardson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801895438 PECOS PAC ID: 2668548249 Enrollment ID: I20101108000891 |
| Provider Name | Amanda J Kirk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477860708 PECOS PAC ID: 6103094966 Enrollment ID: I20110721000450 |
| Provider Name | James Martin Grisolano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356344725 PECOS PAC ID: 8123292711 Enrollment ID: I20111116000683 |
| Provider Name | Michael David Patterson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851654867 PECOS PAC ID: 2668762501 Enrollment ID: I20160603002040 |
| Provider Name | Matthew Ryan Page |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841724176 PECOS PAC ID: 4486919669 Enrollment ID: I20180518000822 |
| Provider Name | Holly Pendel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134672629 PECOS PAC ID: 3274829411 Enrollment ID: I20190430001548 |
| Provider Name | Andrew David Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184072209 PECOS PAC ID: 7214218163 Enrollment ID: I20200713002093 |
| Provider Name | Katie G Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083238174 PECOS PAC ID: 8729404553 Enrollment ID: I20200811002813 |
| Provider Name | Kailey Thomas Boynton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285203547 PECOS PAC ID: 9830588813 Enrollment ID: I20211112000529 |
| Provider Name | Joshua Cade Oliver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649848235 PECOS PAC ID: 5496132144 Enrollment ID: I20220518001204 |
| Provider Name | Brooke Millison Lane David |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326442559 PECOS PAC ID: 7719365303 Enrollment ID: I20220610000975 |
| Provider Name | Philip M Brock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043078611 PECOS PAC ID: 6002359627 Enrollment ID: I20240624001286 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Centers Of Tennessee, Llc 15 Iris Ln, Crossville, TN 38555-7528 Ph: (931) 456-2728 | Eye Centers Of Tennessee, Llc 15 Iris Ln, Crossville, TN 38555-7528 Ph: (931) 456-2728 |