Organization Active NPI

Eye Center of Oak Ridge,PC

  • Ophthalmology Physician
  • Oak Ridge, TN
National Provider Identifier
1235201393
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CENTER OF OAK RIDGE,PC
Practice address
90 Vermont Ave
Oak Ridge, TN 37830-6474
Phone
(865) 482-8890
Fax
(865) 482-7400
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Timothy Powers, MDNPI 1861486573
Title
President
Phone
(865) 482-8890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

90 Vermont Ave
Oak Ridge, TN 37830-6474

Mailing address

90 Vermont Ave
Oak Ridge, TN 37830-6474
Phone (865) 482-8890

Other identifiers 1

IdentifierTypeStateIssuer
1104420001OtherPGBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040602001363 TN Part B Supplier - Clinic/Group Practice 8527040690 Receives reassigned benefits from 14 practitioners
Practice locations: Harriman, TN; Lenoir City, TN; Oak Ridge, TN
O20100930028095 TN DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 8527040690 Practice locations: Oak Ridge, TN

National Provider Directory

National Provider Directory

Locations

1855 Tanner Way
Ste 120
Harriman, TN 37748
Phone (865) 882-1535

408 N Roane St
Ste 200
Harriman, TN 37748
Phone (865) 882-1535

603 Highway 321 N
Ste 301
Lenoir City, TN 37771
Phone (865) 986-3518

125 Town Creek Rd E
Ste 1
Lenoir City, TN 37772
Phone (865) 986-3421

950 Main St
Ste C
Wartburg, TN 37887

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1235201393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-8890",
            "fax_number": "865-482-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-8890",
            "fax_number": "865-482-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF OAK RIDGE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-482-8890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA",
            "identifier": "1104420001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.