Provider Demographics
NPI:1316916158
Name:UNIVERSITY EYE SPECIALISTS, PC
Entity type:Organization
Organization Name:UNIVERSITY EYE SPECIALISTS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:PITT
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:865-244-2020
Mailing Address - Street 1:1932 ALCOA HWY., STE. 255
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:865-244-2030
Mailing Address - Fax:865-410-7292
Practice Address - Street 1:1932 ALCOA HWY., STE. 255
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-244-2030
Practice Address - Fax:865-410-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CM8133OtherRAILROAD MEDICARE
CM8133OtherRAILROAD MEDICARE
=========OtherUNITED HEALTHCARE