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

Southeastern Retina Associates, PC

Organization Ophthalmology Physician · NPI 1932370145

Southeastern Retina Associates, PC is an Ophthalmology Physician in Kingsport, Tennessee. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2412 N John B Dennis Hwy
Kingsport, TN 37660-4772
Phone: (423) 578-4364
Fax: (423) 578-4372
Show map & directions

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

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1932370145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Laverghetta — Ceo · (865) 588-0811
NPI enumeratedMarch 14, 2008
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address9050 Executive Park Dr Ste 202a, Knoxville, TN 37923-4670

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