NPIMap

Organization Active NPI

Teleoptometric Service, P.C.

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1205762465
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TELEOPTOMETRIC SERVICE, P.C.
Practice address
3315 Guthrie Hwy
Clarksville, TN 37040-5507
Phone
(380) 223-3412
NPI assigned
Jun 23, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TELEOPTOMETRIC SERVICE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Susan L Christopher-Brand
Title
Credentialing Manager
Phone
(703) 314-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

3315 Guthrie Hwy
Clarksville, TN 37040-5507

Mailing address

1 Vermont Dr Ste 307
New Hyde Park, NY 11042-1128
Phone (380) 223-3412

National Provider Directory

National Provider Directory
Tax ID family
Teleoptometric Service PC17 organizations share this tax ID, including this one
Part of
Teleoptometric Service PC

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1 Vermont Dr
Ste 307
New Hyde Park, NY 11042

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1205762465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERMONT DR STE 307",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421128",
            "telephone_number": "380-223-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 GUTHRIE HWY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405507",
            "telephone_number": "380-223-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER-BRAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "703-314-8795"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.