Phelps Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHELPS EYE CARE, PLLC

Practice address

138 S Washington Ave
Henderson, TN 38340-2323

Phone

(731) 989-3511

Fax

(731) 989-3515

NPI assigned

Jun 5, 2013

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Adam Phelps, O.D.NPI 1164651998

Title

Optometrist

Phone

(731) 514-8623

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Adam Phelps, O.D.

  • Optometrist
  • Henderson, TN
  • NPI 1164651998
  Authorized official Same address or phone
• Shay Delson Williams, O.D.

  • Optometrist
  • Rockwood, TN
  • NPI 1801969688
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1134567845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S WASHINGTON AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402323",
            "telephone_number": "731-989-3511",
            "fax_number": "731-989-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S WASHINGTON AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402323",
            "telephone_number": "731-989-3511",
            "fax_number": "731-989-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "731-514-8623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Vincent Moss, PHARMD
• Neighborhood Network, Inc.
• Gabrielle Rose Nevels, MSW, LSSW
• Andrea Leigh Newman, BSSW
• Scott Sampson Norris
• Samuel Adam Phelps, O.D.
• Sarah Renee Pierce, AGACNP-BC, CCRN
• Lenita W. Powers, R.N.
• Benjamin Reese, PA-C
• Jessica Leigh Reese, WHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.