Healthcare Provider Details

I. General information

NPI: 1265438303
Provider Name (Legal Business Name): EYE SURGERY CENTER OF CHATTANOOGA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7268 JARNIGAN RD STE 104
CHATTANOOGA TN
37421-3096
US

IV. Provider business mailing address

7268 JARNIGAN RD STE 104
CHATTANOOGA TN
37421-3096
US

V. Phone/Fax

Practice location:
  • Phone: 423-643-3937
  • Fax: 423-643-3938
Mailing address:
  • Phone: 423-643-3937
  • Fax: 423-643-3938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number00000162
License Number StateTN

VIII. Authorized Official

Name: DR. JOHN BIERLY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 423-643-3937