Southeast Eye Specialists, Pllc
NPI #1750981189 in Soddy Daisy, Tennessee
Provider Information
- NPI Number
- 1750981189
- Entity Type
- Organization
- Organization Name
- Southeast Eye Specialists, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHEAST EYE SPECIALISTS, PLLC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Oct 26, 2020
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 9453 DAYTON PIKE
- City
- Soddy Daisy
- State
- Tennessee
- ZIP Code
- 37379-4751
- Phone
- (423) 508-7337
Authorized Official
- Name
- MRS. STACEY MICHELLE CRUDUP
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (615) 234-0450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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