Optometric Practice Solutions, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD579 Issued in TN

Legal business name

OPTOMETRIC PRACTICE SOLUTIONS, INC

Practice address

19740 Alberta St
Oneida, TN 37841-3305

Phone

(423) 569-3937

Fax

(423) 569-6817

NPI assigned

Mar 2, 2009

Organization subpart

No

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

Authorized official

Name

Brian Leach, MBA

Title

Manager

Phone

(423) 566-2250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1194965285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DOUGLAS DAM RD",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377642308",
            "telephone_number": "931-676-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19740 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413305",
            "telephone_number": "423-569-3937",
            "fax_number": "423-569-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PRACTICE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-566-2250",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BENNY MCDANIEL - NPI NUMBER",
            "identifier": "1558400887",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nate Aaron Brennan
• Mary Etta Neely
• Amanda Lynn Nelson, RBT
• Chloe Grace Newport, PHARMD
• Oneida Special School District
• Stephen M. Owens, LCSW
• Debra A. Parmley
• Allie Gentry Patton, FNP
• Amber Pemberton
• Larry Elbert Perry, M.D.

• All providers in Oneida, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.