Complete Vision Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000002179 Issued in TN

Legal business name

COMPLETE VISION CARE PLLC

Practice address

5113 Clinton Hwy
Knoxville, TN 37912-3841

Phone

(865) 409-2242

Fax

(865) 320-9834

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Karin Rodriguez Moore, O.D.NPI 1043248735

Title

Business Owner

Phone

(865) 409-2242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Karin Rodriguez Moore, O.D.

  • Optometrist
  • Knoxville, TN
  • NPI 1043248735
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1134664147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 CLINTON HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123841",
            "telephone_number": "865-409-2242",
            "fax_number": "865-320-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 CLINTON HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123841",
            "telephone_number": "865-409-2242",
            "fax_number": "865-320-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "865-409-2242",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 3, 2025; 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.