Provider Demographics
NPI:1669980108
Name:RESOLUTION EYE CARE,LLC
Entity type:Organization
Organization Name:RESOLUTION EYE CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:270-791-2699
Mailing Address - Street 1:1011 GALLATIN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3231
Mailing Address - Country:US
Mailing Address - Phone:615-988-5356
Mailing Address - Fax:615-649-5426
Practice Address - Street 1:1011 GALLATIN AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3231
Practice Address - Country:US
Practice Address - Phone:615-988-5356
Practice Address - Fax:615-649-5426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3213152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty