The Family Eye Site Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2690 Issued in TN

Legal business name

THE FAMILY EYE SITE INC.

Practice address

1658 Appling Rd
Suite 101
Cordova, TN 38016-4924

Phone

(901) 379-2021

Fax

(901) 385-2028

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kristen E Hillis, O.D.

Title

President

Phone

(901) 351-1666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1114157294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7174 BRUNSWICK RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029608",
            "telephone_number": "901-351-1666",
            "fax_number": "901-829-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 APPLING RD",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164924",
            "telephone_number": "901-379-2021",
            "fax_number": "901-385-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY EYE SITE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "HILLIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-351-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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