Active NPI
The Urban Eye PC
- Optometrist
- Jackson, TN
National Provider Identifier
1124299383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000001095
- Legal business name
- THE URBAN EYE PC
- Practice address
- 412 Oil Well Rd
Jackson, TN 38305-7352 - Phone
- (731) 554-3333
- Fax
- (731) 554-3336
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam K Foote
- Title
- Office Manager / Dr.'S Assistant
- Phone
- (731) 554-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000001095 | TN | Primary |
Addresses
Primary practice location
412 Oil Well Rd
Jackson, TN 38305-7352
Mailing address
412 Oil Well Rd
Jackson, TN 38305-7352
Phone (731) 554-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
412 Oil Well Rd
Jackson, TN 38305
Phone (731) 394-0989
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jackson, TN
- NPI 1578559167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1124299383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 OIL WELL RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057352",
"telephone_number": "731-554-3333",
"fax_number": "731-554-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 OIL WELL RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057352",
"telephone_number": "731-554-3333",
"fax_number": "731-554-3336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE URBAN EYE PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "FOOTE",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER / DR.'S ASSISTANT",
"authorized_official_telephone_number": "731-554-3333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000001095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
- The Grove Behavorial Health Services, Inc
- The Medical Clinic of Jackson
- The Pratt Clinic, PLLC (The Pratt Clinic)
- The Starting Place, LLC
- The Steets Corporation (Jackson Chiropractic)
- The West Clinic, PLLC
- Therapy & Learning Center Inc
- Therapy & Learning Center Inc
- Theurapeutics
- Carolyn Ann Thomas, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.