NPIMap

Organization Active NPI

Dana a. Grist, O.D.

Doing business as Family Eyecare Center

  • Optometrist
  • Johnson City, TN
National Provider Identifier
1144498098
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT 675 Issued in TN
Legal business name
DANA A. GRIST, O.D.
Doing business as
Family Eyecare Center
Practice address
1207 N Roan St
Johnson City, TN 37601-3974
Phone
(423) 928-1010
Fax
(423) 928-9090
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Dana Alan Grist, O.D.NPI 1033148135
Title
Owner
Phone
(423) 928-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODT 675 TN Primary

Addresses

Primary practice location

1207 N Roan St
Johnson City, TN 37601-3974

Mailing address

1207 N Roan St
Johnson City, TN 37601-3974
Phone (423) 928-1010

Other names 1

  • Family Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

1207 N Roan St
Johnson City, TN 37601
Phone (423) 928-1010

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1144498098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013974",
            "telephone_number": "423-928-1010",
            "fax_number": "423-928-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013974",
            "telephone_number": "423-928-1010",
            "fax_number": "423-928-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA A. GRIST, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "GRIST",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-928-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT 675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.