Organization · Type 2 NPI

Southeastern Retina Associates, P.c.

Retina Specialist (Ophthalmology) Physician · Hixson, TN

NPI number 1104097310 Active

Practice location

1961 Northpoint Blvd Ste 110
Hixson, TN 37343-4556

Call (423) 756-1002 Map

Mailing address

9050 Executive Park Dr Ste 202A
Knoxville, TN 37923-4670

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000XNone listed
Retina Specialist (Ophthalmology) Physician Primary 207WX0107XNone listed

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

4 other providers at this address

About NPI 1104097310

Southeastern Retina Associates, P.c.'s National Provider Identifier is 1104097310, issued on Mar 14, 2008. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Hixson, TN. The record was last updated on Nov 4, 2025.