Provider Demographics
NPI:1306115423
Name:THE REEVES EYE INSTITUTE
Entity type:Organization
Organization Name:THE REEVES EYE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-722-1311
Mailing Address - Street 1:2328 KNOB CREEK RD
Mailing Address - Street 2:SUITE 506
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2584
Mailing Address - Country:US
Mailing Address - Phone:423-722-1311
Mailing Address - Fax:423-926-0529
Practice Address - Street 1:2328 KNOB CREEK RD
Practice Address - Street 2:SUITE 506
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2584
Practice Address - Country:US
Practice Address - Phone:423-722-1311
Practice Address - Fax:423-926-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38547207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3895953OtherMEDICARE
VA010089018Medicaid
VA010089018Medicaid