Shirnil Channappa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2169 Issued in TN

Practice address

7524 Kingston Pike
Knoxville, TN 37919-5611

Phone

(865) 588-2215

Fax

(865) 588-2801

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  Medicare reassignment Care Compare group NPD
• Anderson Eye Care, PLLC

  • Optometrist
  • Manchester, TN
  • NPI 1952635690
  NPD (past)
• Hermitage Eye Care PLLC

  • Optometrist
  • Brentwood, TN
  • NPI 1689479909
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Knoxville, TN
  • NPI 1215073457
  NPD (past)
• Phillip R Hammond

  • Optometrist
  • Hermitage, TN
  • NPI 1780856922
  NPD (past)
• Primary Eyecare Group of Columbia PLLC

  • Optometrist
  • Columbia, TN
  • NPI 1538344353
  NPD (past)
• Primary Eyecare Group, P.C.

  • Optometrist
  • Brentwood, TN
  • NPI 1760500821
  NPD (past)
• Tommy J. Ducklo, OD PC

  • Optometrist
  • Nashville, TN
  • NPI 1578733481
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124124714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 PRESCOTT WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195966",
            "telephone_number": "865-588-1954",
            "fax_number": "865-588-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195611",
            "telephone_number": "865-588-2215",
            "fax_number": "865-588-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNAPPA",
        "first_name": "SHIRNIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "4107964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wynsdae Chandler, MSSW
• Shelby Rose Chaney
• Chang Wen Chen MD PC
• Deborah Elaine Changas, CRNA
• George Anthony Changas II, D.D.S.
• Gregory Ross Channell, DPT, MOT
• Lucretia Faye Channell, OTR/L
• Stacia L Chaplin, LCSW
• Allison Chapman, PA-C
• Deborah E Chapman

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.