Active NPI
Joseph Tyler Trent, OD
- Optometrist
- Rogersville, TN
National Provider Identifier
1265006373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3694
- Practice address
- 107 E Main St
Rogersville, TN 37857-3309 - Phone
- (423) 272-2020
- NPI assigned
- May 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 3694 | TN | Primary |
Addresses
Primary practice location
107 E Main St
Rogersville, TN 37857-3309
Mailing address
144 Elizabeth St
Bean Station, TN 37708-4319
Phone (423) 736-3572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 E Main St
Rogersville, TN 37857-3309
Phone (423) 272-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3694 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogersville Vision Clinic,PLLC | Optometrist | Current | Accepting new patients |
| Rogersville Vision Clinic, PLLC | Optometrist | Past | Accepting new patients |
Locations
2020 Chapman Hwy
Ste 1
Knoxville, TN 37920
Phone (865) 573-2443
107 E Main St
Rogersville, TN 37857
Phone (423) 272-2020
Interoperability endpoints
- joseph.trent@direct.revolutionehr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Rogersville, TN
- NPI 1790939197
-
- Optometrist
- Knoxville, TN
- NPI 1699834564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1265006373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ELIZABETH ST",
"city": "BEAN STATION",
"state": "TN",
"postal_code": "377084319",
"telephone_number": "423-736-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E MAIN ST",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378573309",
"telephone_number": "423-272-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT",
"first_name": "JOSEPH",
"middle_name": "TYLER",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, TN
- Grace Caroline Timmis, DO
- Timothy D. Gunnin, D.D.S., P.C. (Rogersville Family Dentistry)
- Hylea Cora Toney, RN
- Tony's Senior Care Transportation LLC
- Elizabeth A Trent-Metz, MSN RNCS FNP 106155
- True Diabetes and Wound Care Associates, LLC
- Clairedale Tumulak, PT
- Christy Star Tunnell, M.S
- Brian K Turner, CRNA
- Diane L Underwood, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.