Organization Active NPI

Insight Eyecare, PLLC

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1134560204
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2731 Issued in TN
Legal business name
INSIGHT EYECARE, PLLC
Practice address
9261 Middlebrook Pike
Suite 201
Knoxville, TN 37931-4730
Phone
(865) 690-9909
Fax
(865) 690-9901
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Harold C. Phillips, O.D.
Title
Optometrist
Phone
(865) 690-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2731 TN Primary

Addresses

Primary practice location

9261 Middlebrook Pike
Suite 201
Knoxville, TN 37931-4730

Mailing address

9261 Middlebrook Pike
Suite 201
Knoxville, TN 37931-4730
Phone (865) 690-9909

Other identifiers 1

IdentifierTypeStateIssuer
1532227MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130815000663 TN Part B Supplier - Clinic/Group Practice 0345482600 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

9261 Middlebrook Pike
Ste 201
Knoxville, TN 37931
Phone (865) 567-5166

9261 Middlebrook Pike
Knoxville, TN 37931

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1134560204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 MIDDLEBROOK PIKE",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314730",
            "telephone_number": "865-690-9909",
            "fax_number": "865-690-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 MIDDLEBROOK PIKE",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314730",
            "telephone_number": "865-690-9909",
            "fax_number": "865-690-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "865-690-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532227",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.

Verify at the official NPI Registry.