Active NPI
Amy H Vinogradov, OD
- Optometrist
- Dandridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3537
- Practice address
- 334 Highway 92 S Ste 7
Dandridge, TN 37725-4578 - Phone
- (865) 397-9991
- Fax
- (865) 940-1401
- NPI assigned
- Jun 1, 2018
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T-236-TA-B19 | AL | |
| Optometrist | 152W00000X | 3537 | TN | Primary |
Addresses
Primary practice location
334 Highway 92 S Ste 7
Dandridge, TN 37725-4578
Mailing address
334 Highway 92 S Ste 7
Dandridge, TN 37725-4578
Phone (865) 397-9991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
334 Hwy 92 S
Suite 7
Dandridge, TN 37725-4578
Phone (865) 397-9991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| The University of Alabama at Birmingham | Optometrist | Current | Accepting new patients |
| Barnes Vision PLLC | Optometrist | Current | Accepting new patients |
Locations
1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899
1716 University Blvd
Birmingham, AL 35294
1716 University Blvd
#G90A
Birmingham, AL 35233
334 Highway 92 S
Ste 7
Dandridge, TN 37725
Phone (865) 397-9991
Interoperability endpoints
- amy.vinogradov@direct.revolutionehr.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UAB Health Center Montgomery
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1164914461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 HIGHWAY 92 S STE 7",
"city": "DANDRIDGE",
"state": "TN",
"postal_code": "377254578",
"telephone_number": "865-397-9991",
"fax_number": "205-934-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 HIGHWAY 92 S STE 7",
"city": "DANDRIDGE",
"state": "TN",
"postal_code": "377254578",
"telephone_number": "865-397-9991",
"fax_number": "865-940-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINOGRADOV",
"first_name": "AMY",
"middle_name": "H",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "T-236-TA-B19",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dandridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.