Rogersville Vision Clinic, PLLC
A Medicare group practice based in Knoxville, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5395894224), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5395894224
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN, VA
- Enrollments
- 4
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090522000257 | TN | Part B Supplier - Clinic/Group Practice | 1790939197 |
| O20100930059178 | TN | DME Supplier - Physician - Optometrist | 1790939197 |
| O20120222000180 | VA | Part B Supplier - Clinic/Group Practice | 1790939197 |
| O20110421000225 | TN | DME Supplier - Physician - Optometrist | 1699834564 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Rogersville Vision Clinic, PLLC
- Optometrist
- Knoxville, TN
- NPI 1699834564
-
Rogersville Vision Clinic,PLLC
- Optometrist
- Rogersville, TN
- NPI 1790939197
Practice locations
- Rogersville, TN2
- Knoxville, TN2
- Weber City, VA1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Eddie H Abernathy Jr., OD
- Optometrist
- Rogersville, TN
- NPI 1831178508
-
Amanda Rae Dellinger, O.D.
- Optometrist
- Rogersville, TN
- NPI 1194971788
-
Sydnee S Morgan, OD
- Optometrist
- Johnson City, TN
- NPI 1023632478
-
Joseph Tyler Trent, OD
- Optometrist
- Rogersville, TN
- NPI 1265006373
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.