NPIMap

Organization Active NPI

Steven D. Elliott, O.D. & Associates, Inc.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1265898852
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD000002347 Issued in TN
Legal business name
STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.
Practice address
4300 Chapman Hwy
Knoxville, TN 37920-3058
Phone
(865) 577-2020
Fax
(865) 579-3688
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Steven D Elliott, O.D.
Title
Owner/President
Phone
(865) 922-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD000002347 TN Primary

Addresses

Primary practice location

4300 Chapman Hwy
Knoxville, TN 37920-3058

Mailing address

4300 Chapman Hwy
Knoxville, TN 37920-3058
Phone (865) 577-2020

Other identifiers 2

IdentifierTypeStateIssuer
1526669MedicaidTN
4290034OtherBLUE CROSS BLUE SHIELD OF TENNESSEE

Other names 1

  • Volunteer Eye Care, South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steven D Elliott OD Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4300 Chapman Hwy
Knoxville, TN 37920
Phone (865) 571-2020

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1265898852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203058",
            "telephone_number": "865-577-2020",
            "fax_number": "865-579-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203058",
            "telephone_number": "865-577-2020",
            "fax_number": "865-579-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-922-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD000002347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526669",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "4290034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteer Eye Care, South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.