Paul Alan Warner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

743 Issued in TN

Practice address

1304 Decatur Pike
Athens, TN 37303-2418

Phone

(423) 745-1702

Fax

(423) 745-1702

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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

• Eyear Optical

  • Durable Medical Equipment & Medical Supplies
  • Athens, TN
  • NPI 1235145657
  NPD (past)
• Eyear Optical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Athens, TN
  • NPI 1245241140
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1033227251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 CHIMNEY RIDGE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231059",
            "telephone_number": "865-694-9896",
            "fax_number": "423-745-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032418",
            "telephone_number": "423-745-1702",
            "fax_number": "423-745-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "743",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "829",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2283",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3598393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Waldrup, LMSW
• Walgreen Co (Walgreens #09522)
• Walgreen Co (Walgreens #05790)
• Jessica Erin Walker, PT, DPT
• Demetra Ware
• Connor Wasylucha, DDS
• Brandon Wells Watson, PA
• Shane P Watson, OTR, PTA
• Taylor Jordan Watson
• Grace Welliver, CPM-TN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.