MEDICARE: EYE CARE CENTERS PLLC

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	207W00000X	Ophthalmology Physician
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1982760229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CARE CENTERS PLLC

Provider Business Mailing Address
First Line	:	2497 S ROANE ST
Second Line	:	STE 110
City	:	HARRIMAN
State	:	TN
Zip	:	37748-8670
Country	:	US
Telephone Number	:	865-988-6649
Fax Number	:	865-988-6546

Provider Business Practice Location Address
First Line	:	721 HIGHWAY 321 N
Second Line	:	STE 3
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-5003
Country	:	US
Telephone Number	:	865-988-6649
Fax Number	:	865-988-6546

Authorized Official
Title or Position	:	PARTNER
Name	:	JOHN M HUNT
Credential	:	OD
Telephone Number	:	865-988-6649

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	08/09/2007

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Directions to “EYE CARE CENTERS PLLC ” Practice Location

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