Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingsport Tn Ophthalmology ASC LLC

Organization Certified Registered Nurse Anesthetist · NPI 1497951826

Kingsport Tn Ophthalmology ASC LLC is a Certified Registered Nurse Anesthetist in Kingsport, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

999 Executive Park Blvd Ste 100
Kingsport, TN 37660-4632
Phone: (423) 247-2022
Fax: (423) 247-2027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1497951826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Clendenin — President · (615) 665-1283
Other names Regional Eye Surgery Center
NPI enumeratedJune 22, 2007
Last updated in NPPESSeptember 7, 2023
Mailing address1a Burton Hills Blvd, Attn: L&C, Nashville, TN 37215-6103

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