Eye Centers of Tennessee, LLC
NPI 1104940790ActiveOrganization· Ophthalmology· Crossville, TN
Ophthalmology in Crossville, Tennessee, registered in NPPES in March 2007. The authorized official on file is Raymond K. Mays, Administrator. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1104940790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Apr 26, 2021 |
| Certified by provider | Apr 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
| Technician/Technologist, Optician | 156FX1800X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD16334 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Ophthalmology (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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