Chattanooga Vision Center, Plc | |
2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 | |
(423) 870-4900 | |
(423) 870-5889 |
Full Name | Chattanooga Vision Center, Plc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2158 Northgate Park Ln, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982679296 | NPI | - | NPPES |
3711088 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Thomas M Reynolds |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003815580 PECOS PAC ID: 4981689080 Enrollment ID: I20050131000863 |
Provider Name | Lauren G Windham |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285946459 PECOS PAC ID: 6002097672 Enrollment ID: I20110302000497 |
Provider Name | Jon Caleb Hildebrand |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457748501 PECOS PAC ID: 4587985601 Enrollment ID: I20190626003346 |
Provider Name | Courtney Webb Ridner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1346228426 PECOS PAC ID: 4486819844 Enrollment ID: I20230912000340 |
Mailing Address | Practice Location Address |
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Chattanooga Vision Center, Plc 2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 Ph: (423) 870-4900 | Chattanooga Vision Center, Plc 2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 Ph: (423) 870-4900 |