Skyline Eye Clinic, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

457 Issued in TN

Legal business name

SKYLINE EYE CLINIC, PC

Practice address

138 Houston Ave
Selmer, TN 38375-2127

Phone

(731) 645-7255

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Raymond J Kee

Title

Administrator/Ceo

Phone

(731) 424-2414

Specialties & licenses 1

Addresses

Other names 1

• Eye Clinic, PC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/t5x2d7ew

Practitioners 2

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

• Stephen Dumas Hammond Jr., MD

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1023123643
  NPD (past)
• James Preston Smith, OD

  • Optometrist
  • Selmer, TN
  • NPI 1437138492
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1114179587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HOUSTON AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752127",
            "telephone_number": "731-645-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HOUSTON AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752127",
            "telephone_number": "731-645-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "KEE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "731-424-2414"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selmer SNF Healthcare LLC
• William G Shelton, MOTR/L
• Mary Beth Shirley, PA
• Susan Michelle Siddiqui, MS, CCC-SLP
• Erin Paige Simpson, PHARM.D.
• James Preston Smith, OD
• Jeri Smith, LMT
• Trista Lavonne Smith, OT
• Southern Mobility Specialists Inc
• Jessica Southers

• All providers in Selmer, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.