Active NPI
Mountain Empire Cataract & Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Bristol, TN
National Provider Identifier
1245340603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 152
- Legal business name
- MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER
- Practice address
- 3185 W State St
Suite 2020
Bristol, TN 37620-1610 - Phone
- (423) 968-4141
- Fax
- (423) 968-7641
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Burton
- Title
- Director Credentialing
- Phone
- (434) 661-7762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 152 | TN | Primary |
Addresses
Primary practice location
3185 W State St
Suite 2020
Bristol, TN 37620-1610
Mailing address
2010 Bremo Rd Ste 128a
Richmond, VA 23226-2444
Phone (877) 969-0392
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00056474 | Other | TN | RAILROAD MEDICARE |
| TN0101 | Other | TN | JOHN DEERE HEALTH CARE |
| 010024676 | Medicaid | VA | |
| 4068468 | Other | TN | BLUE CROSS BLUE SHIELD |
| 019997 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000683 | TN | Part B Supplier - Ambulatory Surgical Center | 9830003110 | Practice locations: Bristol, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Mountain Empire Cataract and Eye Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1009070 | Mountain Empire Cataract & Eye Surgery Center | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bristol, TN
- NPI 1851545677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1245340603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 BREMO RD STE 128A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262444",
"telephone_number": "877-969-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3185 W STATE ST",
"address_2": "SUITE 2020",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201610",
"telephone_number": "423-968-4141",
"fax_number": "423-968-7641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR CREDENTIALING",
"authorized_official_telephone_number": "434-661-7762"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00056474",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH CARE",
"identifier": "TN0101",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010024676",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4068468",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "019997",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.