Patrick D. Shorter

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN2533 Issued in TN

Legal business name

PATRICK D. SHORTER

Practice address

805 E Jackson Blvd
Jonesborough, TN 37659-1540

Phone

(423) 753-7760

Fax

(423) 753-7466

NPI assigned

Mar 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick Shorter, O.D.

Title

Owner

Phone

(423) 753-7760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jonesborough Eye Clinic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ben Deal Parrish, O.D.

  • Optometrist
  • Mountain City, TN
  • NPI 1740303098
  NPD (past)
• Carla S Shorter, O.D.

  • Optometrist
  • Beavercreek, OH
  • NPI 1831124155
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1013047166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591540",
            "telephone_number": "423-753-7760",
            "fax_number": "423-753-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591540",
            "telephone_number": "423-753-7760",
            "fax_number": "423-753-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK D. SHORTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-753-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3733327",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesborough Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Marie Nuessen-Landry, PT
• Olde Towne Pharmacy Inc
• Heather A Osborne, LCSW
• Wendy Gail Owens, CPM
• Anisha Patel
• Morris Patton
• Maureen J. Peacock, FNP
• John C. Pennington, M.A., CCC-SLP
• Petersen Family Chiropractic
• Howard Gale Petersen, DC

• Optometrist in Jonesborough, TN
• Providers in Jonesborough, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.