Active NPI
Cox Vision Center PC
- Optometrist
- Johnson City, TN
National Provider Identifier
1104097815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1296
- Legal business name
- COX VISION CENTER PC
- Practice address
- 1207 N Roan Street
Johnson City, TN 37601 - Phone
- (423) 929-2020
- Fax
- (423) 929-3140
- NPI assigned
- Mar 20, 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
- Mrs. Pam Brooks
- Title
- Office Manager
- Phone
- (423) 929-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1296 | TN | Primary |
| Optometrist | 152W00000X | 1663 | TN |
Addresses
Primary practice location
1207 N Roan Street
Johnson City, TN 37601
Mailing address
1207 N Roan Street
Johnson City, TN 37601
Phone (423) 929-2020
National Provider Directory
National Provider Directory- Tax ID family
- Cox Vision Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Johnson City, TN
- NPI 1518136746
Locations
1207 N Roan St
Johnson City, TN 37601
Phone (423) 928-1010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1104097815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 N ROAN STREET",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "423-929-2020",
"fax_number": "423-929-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 N ROAN STREET",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "423-929-2020",
"fax_number": "423-929-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COX VISION CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "423-929-2020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "1296",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "1663",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.