Performance Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2236 Issued in TN

Legal business name

PERFORMANCE EYECARE PLLC

Practice address

501 Adessa Pkwy Ste B200
Lenoir City, TN 37771-6725

Phone

(865) 988-9787

Fax

(865) 988-3832

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By 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. Heather Rebecca Walker, O.D.NPI 1669428454

Title

Sole Member/Owner

Phone

(865) 988-9787

Specialties & licenses 1

Addresses

Locations

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.

• Heather Rebecca Walker, O.D.

  • Optometrist
  • Lenoir City, TN
  • NPI 1669428454
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154410579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ADESSA PKWY STE B200",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716725",
            "telephone_number": "865-988-9787",
            "fax_number": "865-988-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ADESSA PKWY STE B200",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716725",
            "telephone_number": "865-988-9787",
            "fax_number": "865-988-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "865-988-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Choice LLC
• Pediatric Consultants of Lenoir City
• Tiffany T Pendergrass, FNP
• Laurel Baye Penley
• Performance Eyecare Clinic, Inc.
• Stephen D Pershing, M.D. LLC
• Joseph C. Petit, MD
• Cynthia Mae Petty, CPHT
• Karen Jane Phillips-Wilson, CRNA
• Physician Associate Resources, PLC (Clinica Familiar Latinoamerica)

• Optometrist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.