Eye M D Ophthalmology PLLC
NPI 1407984396ActiveOrganization· Ophthalmology· Tullahoma, TN
Ophthalmology in Tullahoma, Tennessee, registered in NPPES in March 2007. The authorized official on file is Ben Bob Mahan, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407984396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2007 |
| Last updated in NPPES | Aug 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | TN MD18870 | TN |
| Optometrist | 152W00000X | TN-OD-T394 | TN |
| Ophthalmology | 207W00000X | TN MD 9867 | 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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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