Healthcare Provider Details

I. General information

NPI: 1477082287
Provider Name (Legal Business Name): CHATTANOOGA EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 MARKET ST STE B
CHATTANOOGA TN
37402-2714
US

IV. Provider business mailing address

PO BOX 1189
ATHENS AL
35612-1189
US

V. Phone/Fax

Practice location:
  • Phone: 423-468-3305
  • Fax:
Mailing address:
  • Phone: 256-233-2393
  • Fax: 256-233-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHAD DAVIS
Title or Position: OWNER
Credential: OD
Phone: 256-233-2393