MEDICARE: KNOXVILLE EYE SURGERY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	DPO980	TN

General Provider Information

NPI Number	:	1326217647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOXVILLE EYE SURGERY CENTER, LLC

Provider Business Mailing Address
First Line	:	140 CAPITOL DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3343
Country	:	US
Telephone Number	:	865-251-0340
Fax Number	:	865-251-0330

Provider Business Practice Location Address
First Line	:	140 CAPITOL DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3343
Country	:	US
Telephone Number	:	865-251-0340
Fax Number	:	865-251-0330

Authorized Official
Title or Position	:	CHIEF MANAGER
Name	:	MR. LARRY R RAUEN
Credential	:
Telephone Number	:	865-544-6912

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	02/21/2008

Similar Medicare Providers

1609955517 — KNOXVILLE EYE SURGERY CENTER LLC
Practice Location Address:

160 CAPITAL DR
KNOXVILLE, TN
37922-3343

Practice Phone: 865-251-0338
Practice Fax: 865-985-0325

1821153768 — UNIVERSITY EYE SPECIALISTS, P.C.
Practice Location Address:

140 CAPITOL DR
KNOXVILLE, TN
37922-3343

Practice Phone: 865-539-6052
Practice Fax: 865-539-6269

1225019987 — ALEX RUTH M.D.
Practice Location Address:

7733 OAK RIDGE HWY
KNOXVILLE, TN
37931-3343

Practice Phone: 865-470-2560
Practice Fax: 865-691-5883

1437354610 — EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Practice Location Address:

7733 OAK RIDGE HWY
KNOXVILLE, TN
37931-3343

Practice Phone: 865-470-2560
Practice Fax: 866-469-4963

1679765150 — DR. CHARLES SANDERFUR LPC, M.ED
Practice Location Address:

3343 DEWINE RD
KNOXVILLE, TN
37921-4211

Practice Phone: 865-584-6374
Practice Fax: 865-584-6613

1225220700 — KOINONIA COUNSELING CENTER
Practice Location Address:

3343 DEWINE RD
KNOXVILLE, TN
37921-4211

Practice Phone: 865-584-6374
Practice Fax: 865-584-6613

Directions to “KNOXVILLE EYE SURGERY CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.