Southeast Eye Specialists Pllc - Medicare in Chattanooga, TN

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Southeast Eye Specialists Pllc is a medicare enrolled "Ophthalmology" provider in Chattanooga, Tennessee. Their current practice location is 7268 Jarnigan Rd, Suite 200, Chattanooga, Tennessee. You can reach out to their office (for appointments etc.) via phone at (423) 508-7337.

Southeast Eye Specialists Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southeast Eye Specialists Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518961176.

Contact Information

Southeast Eye Specialists Pllc
7268 Jarnigan Rd, Suite 200,
Chattanooga, TN 37421-3097
(423) 508-7337
(423) 508-7338

Map and Direction




Healthcare Provider's Profile

Full NameSoutheast Eye Specialists Pllc
TypeFacility
SpecialityOphthalmology
Location7268 Jarnigan Rd, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518961176
  • Provider Enumeration Date: 06/10/2005
  • Last Update Date: 04/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6800708504
  • Enrollment ID: O20031103000021

Medical Identifiers

Medical identifiers for Southeast Eye Specialists Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518961176NPI-NPPES
3721447MedicaidTN
GRP6156MedicaidGA
524169578AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
207WX0009XOphthalmology - Glaucoma Specialist (* (Not Available))Secondary
207WX0107XOphthalmology - Retina Specialist (* (Not Available))Secondary
207WX0110XOphthalmology - Pediatric Ophthalmology And Strabismus Specialist (* (Not Available))Secondary
207WX0120XOphthalmology - Cornea And External Diseases Specialist (* (Not Available))Secondary
207WX0200XOphthalmology - Ophthalmic Plastic And Reconstructive Surgery (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeast Eye Specialists Pllc acts as a billing entity for following providers:
Provider NameEdward A Peterson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1679577324
PECOS PAC ID: 1153233341
Enrollment ID: I20031105000357
Provider NameJohn Robert Bierly
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831193515
PECOS PAC ID: 5496667107
Enrollment ID: I20031106000204
Provider NameDaryl F Mann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477557148
PECOS PAC ID: 8123930831
Enrollment ID: I20031106000312
Provider NameDaniel K Bregman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1871529982
PECOS PAC ID: 6002892049
Enrollment ID: I20040629000647
Provider NameSonya M Smoak
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376549071
PECOS PAC ID: 7113907171
Enrollment ID: I20040721001223
Provider NameDaryl L Mcdaniel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790754190
PECOS PAC ID: 1850369117
Enrollment ID: I20040923000808
Provider NameJohn Bonner
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831151216
PECOS PAC ID: 9537126529
Enrollment ID: I20041210000703
Provider NameRandall L Funderburk
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699771931
PECOS PAC ID: 5597715649
Enrollment ID: I20050126000533
Provider NameZachary S Mccarty
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912011131
PECOS PAC ID: 2961400544
Enrollment ID: I20061114000397
Provider NameLeslie A Phillips
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871748715
PECOS PAC ID: 9234289273
Enrollment ID: I20090611000786
Provider NameWilliam M Goodman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689760670
PECOS PAC ID: 9931242419
Enrollment ID: I20100923001245
Provider NameLauren G Windham
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1285946459
PECOS PAC ID: 6002097672
Enrollment ID: I20110302000497
Provider NameSachie Hase Craig
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518264969
PECOS PAC ID: 8527231521
Enrollment ID: I20111108000670
Provider NameRex A Yannis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417007691
PECOS PAC ID: 6901874494
Enrollment ID: I20120214000521
Provider NameLuckson Previl
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780017483
PECOS PAC ID: 9830323500
Enrollment ID: I20131011000832
Provider NameThomas Peter Lindquist
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1184853947
PECOS PAC ID: 7113164963
Enrollment ID: I20141024000654
Provider NameJessica J Lesueur
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053753541
PECOS PAC ID: 7416172978
Enrollment ID: I20141201000948
Provider NameJohn Kim
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811928245
PECOS PAC ID: 2961422365
Enrollment ID: I20150326001000
Provider NameRachel Lynn Brown
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013305275
PECOS PAC ID: 7810218856
Enrollment ID: I20150603000915
Provider NameWilliam C. Whitmire
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932492303
PECOS PAC ID: 8628382207
Enrollment ID: I20150728004214
Provider NameReed Parker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992100390
PECOS PAC ID: 7315255379
Enrollment ID: I20150924002993
Provider NameRachel Lusk
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942675954
PECOS PAC ID: 8426340845
Enrollment ID: I20160706000178
Provider NamePaige Thompson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548719503
PECOS PAC ID: 9931479235
Enrollment ID: I20170719002235
Provider NameDahlia Haddad
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962852608
PECOS PAC ID: 6406122183
Enrollment ID: I20171025000055
Provider NameKaren Beryl Fitzgerald-shelton
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437136959
PECOS PAC ID: 5496825937
Enrollment ID: I20200313002088
Provider NameChristopher Haggerty
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609883479
PECOS PAC ID: 4385616507
Enrollment ID: I20200324003908
Provider NameMatthew Lee Hartman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063891216
PECOS PAC ID: 9436485919
Enrollment ID: I20200610001355
Provider NamePaul William Mallory
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790149821
PECOS PAC ID: 6305130535
Enrollment ID: I20200714002595
Provider NameMaria Stephanie R. Jardeleza
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518125509
PECOS PAC ID: 0143396523
Enrollment ID: I20210125000696
Provider NameRobert W.h. Mason
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1124077359
PECOS PAC ID: 5395720189
Enrollment ID: I20220608000985
Provider NameKatherine Rylie Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023739505
PECOS PAC ID: 4183084080
Enrollment ID: I20230724001045
Provider NameChristina Elise Douglas
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699263913
PECOS PAC ID: 8820471758
Enrollment ID: I20230725003021
Provider NameCourtney Webb Ridner
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1346228426
PECOS PAC ID: 4486819844
Enrollment ID: I20230912000340

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southeast Eye Specialists Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeast Eye Specialists Pllc
341 Cool Springs Blvd Ste 400,
Franklin, TN 37067-7224

Ph: (423) 508-7337		Southeast Eye Specialists Pllc
7268 Jarnigan Rd, Suite 200,
Chattanooga, TN 37421-3097

Ph: (423) 508-7337

Reviews and Comments



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