Zachary Pumphrey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2692 Issued in TN

Practice address

321 E Elk Ave
Elizabethton, TN 37643-3221

Phone

(423) 542-2512

Fax

(423) 542-0477

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Truelight Eye Care, PLLCGroup PAC ID 7517034051, 2 clinicians

Mills Optometric Associates, PCGroup PAC ID 1052505914, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• MS PPO
• MS PPO D-SNP
• MS PPO C-SNP

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mills Optometric Associates, PC

  • Vision Therapy Optometrist
  • Elizabethton, TN
  • NPI 1669505939
  Medicare reassignment Care Compare group NPD
• Truelight Eye Care, PLLC

  • Optometrist
  • Johnson City, TN
  • NPI 1801051750
  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD (past)
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1013925791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433221",
            "telephone_number": "423-542-2512",
            "fax_number": "423-542-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433221",
            "telephone_number": "423-542-2512",
            "fax_number": "423-542-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2692",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4157039",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00914239",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Beatrice Wilson Pinter, DMD
• Adrienne J Poag, R.D.
• Ashton Keen Powers
• Rebecca R Powers, MD
• Premier Respiratory Equipment, Inc
• Tammy Lee Putman, RN
• Caylin Jessica Quillin
• Tammy Leigh Radford, RN
• Renee Denise Ray, OTR
• Recovery Soldiers Ministries

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.