DRS. Shields and Shields

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1339 Issued in TN

Legal business name

DRS. SHIELDS AND SHIELDS

Practice address

10219 Kingston Pike
Ste 101
Knoxville, TN 37922-3222

Phone

(865) 539-3888

Fax

(865) 539-0653

NPI assigned

Dec 5, 2006

Reactivated

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Charles Young Shields, ODNPI 1114085859

Title

General Partner

Phone

(865) 539-3888

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Y Shields, O.D.

  • Optometrist
  • Knoxville, TN
  • NPI 1114085859
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1114085701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 KINGSTON PIKE",
            "address_2": "STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-539-3888",
            "fax_number": "865-539-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 KINGSTON PIKE",
            "address_2": "STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-539-3888",
            "fax_number": "865-539-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. SHIELDS AND SHIELDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-10-01",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "865-539-3888",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1339",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "ODT1339",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TN",
            "license": "ODT1339",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "TN",
            "license": "ODT1339",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "TN",
            "license": "ODT1339",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "ODT1339",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "TN",
            "license": "ODT1339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Driver, APRN
• DRK Rehabilitation PLLC
• Janay Alyce Drost
• Darly Drown
• DRS Black&Benton Pediatrics
• Alanah Karis Drum
• Ashley Drysdale
• Chen Du, PHD, MPH, RDN
• Allison Dubrule, BSW
• Zachary Robert Duby, PT

• Optometrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.