Organization Active NPI

Steven D Elliott

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1104085463
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2347 Issued in TN
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

Updated by the provider on Oct 1, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.