Organization · Type 2 NPI

Southeastern Retina Associates, P.c.

Retina Specialist (Ophthalmology) Physician · Kingsport, TN

NPI number 1932370145 Active

Practice location

2412 N John B Dennis Hwy
Kingsport, TN 37660-4772

Call (423) 578-4364 Map

Fax (423) 578-4372

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.

7 other providers at this address

About NPI 1932370145

Southeastern Retina Associates, P.c.'s National Provider Identifier is 1932370145, issued on Mar 14, 2008. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Kingsport, TN. The record was last updated on Oct 22, 2025.