Active NPI
North Park Eye Center P C
- Ophthalmology Physician
- Hixson, TN
National Provider Identifier
1073503298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NORTH PARK EYE CENTER P C
- Practice address
- 5022 Old Godsey Lane
Suite 7
Hixson, TN 37343 - Phone
- (423) 870-8000
- Fax
- (423) 870-4044
- NPI assigned
- Oct 27, 2005
- Last updated
- Mar 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie A. Grayson
- Title
- Administrator
- Phone
- (423) 870-8000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
5022 Old Godsey Lane
Suite 7
Hixson, TN 37343
Mailing address
5022 Old Godsey Lane
Suite 7
Hixson, TN 37343
Phone (423) 870-8000
National Provider Directory
National Provider DirectoryLocations
3928 Dayton Blvd
Chattanooga, TN 37415
Phone (423) 355-8721
5022 Old Godsey Ln
Hixson, TN 37343
Phone (423) 840-3573
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Chattanooga, TN
- NPI 1841288131
-
- Optometrist
- Ooltewah, TN
- NPI 1194756577
-
- Optometrist
- Rock Spring, GA
- NPI 1952300832
-
- Optometrist
- Cartersville, GA
- NPI 1205974946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1073503298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 OLD GODSEY LANE",
"address_2": "SUITE 7",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-8000",
"fax_number": "423-870-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 OLD GODSEY LANE",
"address_2": "SUITE 7",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-8000",
"fax_number": "423-870-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH PARK EYE CENTER P C",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "GRAYSON",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "423-870-8000"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.