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)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:
Myeyedr Optometry Of Tennessee, Llc
May also be known as Myeyedr.
Jacksboro, TNSpecialty: Optometrist (Primary)