Greater Regional Eye Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GREATER REGIONAL EYE GROUP

Practice address

1410 Tusculum Blvd
Greeneville, TN 37745-4286

Phone

(423) 636-7394

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Gregory Moore, OD

Title

Manager

Phone

(423) 636-7394

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1194369330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "423-636-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER REGIONAL EYE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-636-7394",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brian Gong, FNP-C
• Sarah Gordon, LPN
• Heather Colleen Gow, PSY.D.
• Paul L Gow Jr., BS
• Lindsey R Gray, MSN
• Katlyn Green
• Greene County Drug Store LLC
• Greene County Employee Clinic
• Greene County Greeneville Emergency Medical Services
• Greene County Greeneville Emergency Medical Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.