Provider Demographics
NPI:1144895459
Name:ESSENTIAL EYE CARE, PLLC
Entity type:Organization
Organization Name:ESSENTIAL EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:PORCH
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-203-9098
Mailing Address - Street 1:2125 ROCK SPRINGS MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:TN
Mailing Address - Zip Code:37037-5357
Mailing Address - Country:US
Mailing Address - Phone:615-203-9098
Mailing Address - Fax:615-867-7499
Practice Address - Street 1:1524 BEASIE RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-2945
Practice Address - Country:US
Practice Address - Phone:615-439-2646
Practice Address - Fax:615-439-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty