Organization Active NPI

Mabry Eye Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
National Provider Identifier
1073661716
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MABRY EYE CENTER PLLC
Practice address
1210 Premier Dr
Ste110
Chattanooga, TN 37421-3747
Phone
(423) 385-2020
Fax
(423) 385-2021
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Elizabeth D Mabry, M.D.NPI 1992702021
Title
Owner
Phone
(423) 385-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1210 Premier Dr
Ste110
Chattanooga, TN 37421-3747

Mailing address

1210 Premier Dr
Ste 110
Chattanooga, TN 37421-3747
Phone (423) 385-2020

Other names 1

  • Premier Eyewear Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1073661716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PREMIER DR",
            "address_2": "STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213747",
            "telephone_number": "423-385-2020",
            "fax_number": "423-385-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PREMIER DR",
            "address_2": "STE110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213747",
            "telephone_number": "423-385-2020",
            "fax_number": "423-385-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABRY EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-385-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.