Basic Information
| Provider Information | |||||||||
| NPI: | 1255513388 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SPRING HILL EYECARE, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5328 MAIN ST | ||||||||
| Address2: | SUITE K | ||||||||
| City: | SPRING HILL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371742481 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9314891950 | ||||||||
| FaxNumber: | 9314891953 | ||||||||
| Practice Location | |||||||||
| Address1: | 5328 MAIN ST | ||||||||
| Address2: | SUITE K | ||||||||
| City: | SPRING HILL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371742481 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9314891950 | ||||||||
| FaxNumber: | 9314891953 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2007 | ||||||||
| LastUpdateDate: | 08/09/2010 | ||||||||
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| AuthorizedOfficialLastName: | SZELIGA | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | REISS | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9314891950 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | O.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332H00000X | 2599 | TN | Y | Suppliers | Eyewear Supplier (Equipment, not the service) |
No ID Information.