Provider Demographics
NPI:1558423962
Name:WEST TENNESSEE EYE, PLC
Entity type:Organization
Organization Name:WEST TENNESSEE EYE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:901-872-2020
Mailing Address - Street 1:PO BOX 271520
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38167-1520
Mailing Address - Country:US
Mailing Address - Phone:901-872-2020
Mailing Address - Fax:901-873-1199
Practice Address - Street 1:8120 US HIGHWAY 51 N STE 7
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-1702
Practice Address - Country:US
Practice Address - Phone:901-872-2020
Practice Address - Fax:901-873-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1797152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ002692Medicaid
TN3941291Medicare ID - Type Unspecified