Winchester Eye Clinic P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0000000494 Issued in TN

Legal business name

WINCHESTER EYE CLINIC P.C.

Practice address

183 Hospital Rd
Suite H
Winchester, TN 37398-6207

Phone

(931) 967-2230

Fax

(931) 967-9622

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Marlin Hicks, O.D.

Title

Owner

Phone

(931) 967-2230

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Lauren Jaclyn Plewes, OD

  • Optometrist
  • Memphis, TN
  • NPI 1629563432
  NPD (past)
• Heather R Sohrabi, OD

  • Optometrist
  • Tullahoma, TN
  • NPI 1477666287
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1265632301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "SUITE H",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982470",
            "telephone_number": "931-967-2230",
            "fax_number": "931-967-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "SUITE H",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373986207",
            "telephone_number": "931-967-2230",
            "fax_number": "931-967-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER EYE CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-967-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000000494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3722905",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "3722905",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Cole White, PTA
• Rachel White, PTA
• David Williams
• Winchester Al Opco LLC
• Winchester Counseling Center, LLC
• Winchester Eye Clinic, PLLC.
• Winchester Family Dentistry TN LLC
• Winchester Healthcare, LLC
• Winchester Medical Urgent Care
• Winchester Operator LLC

• Optometrist in Winchester, TN
• Providers in Winchester, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.