Organization

Associates In Eye Care, Inc.

Optometrist in Jacksboro, TN(View on Map)

Legal Business Name

Associates In Eye Care, Inc.

NPI Number

1336230077

NPI Type

Organization

Enumeration Date

09/27/2006

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 306
2523 JACKSBORO PK

City

Ferguson
Jacksboro

State

KY
TN

Postal Code

42533-0306
37757-4847

Country

US
US

Telephone Number

(606) 492-2211
(423) 566-2020

Authorized Official

Name

Gary Upchurch

Title or Position

PRESIDENT AND AUTHORIZED OFFICIAL

Telephone Number

(606) 387-5612

Identifiers

Identifier

174791
3942271
3941347
3941367; 3941363
CO0230:012
3941367; 3941363
62081
CJ5379
3942271

Identifier State

TN
TN
TN
TN
Unknown
TN
Unknown
TN
TN

Identifier Issuer

BCBSTN/BLUECARE/TENNCARE
MEDICAID # FOR DR. SANDY MYSLIWIEC
Unknown
MEDICARE PIN FOR DR. KEVIN MYSLIWIEC
EYEMED
MEDICAID # FOR DR. KEVIN MYSLIWIEC
OPTUMHEALTH VISION
RAILROAD MEDICARE
MEDICARE PIN FOR DR. SANDY MYSLIWIEC

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

COMPULINK

Endpoint Description

SECURE SOFTWARE

Use

Health Information Exchange (HIE)

Content Type

Other

Other Description:
ELECTRONIC HEALTH RECORDS

Affiliation

N

Endpoint Location

2523 Jacksboro PkJacksboro, TN377574847US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/22/2021

Provider Address

Other Optometrist in Jacksboro, Tennessee:

Organization

Myeyedr Optometry Of Tennessee, Llc

May also be known as Myeyedr.
Jacksboro, TN

Specialty: Optometrist (Primary)