Organization Active NPI

Union City Eye Care, P.C.

  • Optometrist
  • Union City, TN
National Provider Identifier
1083832372
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT867 Issued in TN
Legal business name
UNION CITY EYE CARE, P.C.
Practice address
1022 S Miles Ave
Union City, TN 38261-5432
Phone
(731) 885-1049
Fax
(731) 885-6488
NPI assigned
Apr 23, 2007
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Alan Kyle Bugg, O.D.NPI 1871547455
Title
Owner
Phone
(731) 885-1049

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
Optometrist 152W00000X ODT867 TN Primary

Addresses

Primary practice location

1022 S Miles Ave
Union City, TN 38261-5432

Mailing address

1022 S Miles Ave
Union City, TN 38261-5432
Phone (731) 885-1049

Other identifiers 1

IdentifierTypeStateIssuer
3732593MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060201000046 TN Part B Supplier - Clinic/Group Practice 1557375342 Receives reassigned benefits from 3 practitioners
Practice locations: Union City, TN
O20100930087962 TN DME Supplier - Physician - Optometrist 1557375342 Practice locations: Union City, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2060084Union City Eye Care, PC1022 South Miles Ave, Union City, TN 38261Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

1022 S Miles Ave
Union City, TN 38261
Phone (731) 885-1049

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1083832372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615432",
            "telephone_number": "731-885-1049",
            "fax_number": "731-885-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615432",
            "telephone_number": "731-885-1049",
            "fax_number": "731-885-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CITY EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-885-1049",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732593",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.