Organization Active NPI

Oak Ridge Optical Dispensary

  • Optician
  • Oak Ridge, TN
National Provider Identifier
1104858273
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OD1118 Issued in TN
Legal business name
OAK RIDGE OPTICAL DISPENSARY
Practice address
174 Randolph Rd
Oak Ridge, TN 37830-5027
Phone
(865) 483-3616
Fax
(865) 483-7611
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mrs. Amy D Arndt, DO
Title
Optician/Co Owner
Phone
(865) 483-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X OD1118 TN Primary

Addresses

Primary practice location

174 Randolph Rd
Oak Ridge, TN 37830-5027

Mailing address

174 Randolph Rd
Oak Ridge, TN 37830-5027
Phone (865) 483-3616

National Provider Directory

National Provider Directory

Locations

174 Randolph Rd
Oak Ridge, TN 37830
Phone (865) 483-3616

Practitioners & affiliated clinicians

Practitioners 2

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1104858273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 RANDOLPH RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305027",
            "telephone_number": "865-483-3616",
            "fax_number": "865-483-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 RANDOLPH RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305027",
            "telephone_number": "865-483-3616",
            "fax_number": "865-483-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE OPTICAL DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTICIAN/CO OWNER",
        "authorized_official_telephone_number": "865-483-3616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "OD1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.