NPIMap

Organization Active NPI

Summit Medical Group,PLLC

Doing business as Tennessee Eye Care, a division of Summit Medical Group

  • Retina Specialist (Ophthalmology) Physician
  • Lenoir City, TN
National Provider Identifier
1023871340
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
SUMMIT MEDICAL GROUP,PLLC
Doing business as
Tennessee Eye Care, a division of Summit Medical Group
Practice address
5491 Creekwood Park Blvd
Lenoir City, TN 37772-1204
Phone
(800) 500-4667
Fax
(833) 448-2983
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT MEDICAL GROUP,PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Jennifer Raney
Title
Provider Enrollment Supervisor
Phone
(865) 269-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

5491 Creekwood Park Blvd
Lenoir City, TN 37772-1204

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382
Phone (865) 584-4747

Other practice location 1

320 Cheshire Dr
Knoxville, TN 37919-5813
Phone (800) 500-4667

Other practice location 2

7714 Conner Rd Ste 102
Powell, TN 37849-3559
Phone (800) 500-4667

Other practice location 3

1798 Roane State Hwy
Harriman, TN 37748-8305
Phone (800) 500-4667

Other practice location 4

1639 W Morris Blvd
Morristown, TN 37813-2832
Phone (800) 500-4667

Other names 1

  • Tennessee Eye Care, a division of Summit Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Medical Group PL65 organizations share this tax ID, including this one
Part of
Summit Medical Group PL

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1023871340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721204",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Cheshire Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195813",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7714 Conner Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493559",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1798 Roane State Hwy",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488305",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 W Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132832",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT MEDICAL GROUP,PLLC",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "865-269-2111"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Eye Care, a division of Summit Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.