Active NPI
Steven D Elliott
- Optometrist
- Knoxville, TN
National Provider Identifier
1104085463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2347
- Legal business name
- STEVEN D ELLIOTT
- Practice address
- 5315 N Broadway St
Knoxville, TN 37918-3261 - Phone
- (865) 689-3333
- Fax
- (865) 689-3317
- NPI assigned
- Jun 3, 2008
- 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
- Dr. Steven D. Elliott, OD
- Title
- Optomestrist/Owner
- Phone
- (865) 689-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2347 | TN | Primary |
Addresses
Primary practice location
5315 N Broadway St
Knoxville, TN 37918-3261
Mailing address
5315 N Broadway St
Knoxville, TN 37918-3261
Phone (865) 689-3333
Other names 1
- Fountain City Eyecare
National Provider Directory
National Provider DirectoryLocations
5315 N Broadway St
Knoxville, TN 37918
Phone (865) 689-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1104085463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379183261",
"telephone_number": "865-689-3333",
"fax_number": "865-689-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379183261",
"telephone_number": "865-689-3333",
"fax_number": "865-689-3317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN D ELLIOTT",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-03",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OPTOMESTRIST/OWNER",
"authorized_official_telephone_number": "865-689-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "2347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fountain City Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.