Organization Active NPI

Clayton B Rhodes

Doing business as Hixson EyeCare

  • Optometrist
  • Hixson, TN
National Provider Identifier
1275702045
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD507 Issued in TN
Legal business name
CLAYTON B RHODES
Doing business as
Hixson EyeCare
Practice address
5433 Hixson Pike
Hixson, TN 37343-3238
Phone
(423) 843-2020
Fax
(423) 842-1914
NPI assigned
Feb 26, 2008
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CLAYTON B RHODES OD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Clayton B Rhodes, ODNPI 1194719674
Title
OD
Phone
(423) 843-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X OD507 TN Primary

Addresses

Primary practice location

5433 Hixson Pike
Hixson, TN 37343-3238

Mailing address

5433 Hixson Pike
Hixson, TN 37343-3238
Phone (423) 843-2020

Other identifiers 1

IdentifierTypeStateIssuer
2008500OtherTNBLUE CROSS & BLUE SHIELD

Other names 1

  • Hixson EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216000735 TN Part B Supplier - Clinic/Group Practice 3971621483 Receives reassigned benefits from 3 practitioners
Practice locations: Hixson, TN

National Provider Directory

National Provider Directory
Part of
Clayton B Rhodes OD PC

Locations

5433 Hixson Pike
Hixson, TN 37343
Phone (423) 843-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1275702045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433238",
            "telephone_number": "423-843-2020",
            "fax_number": "423-842-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433238",
            "telephone_number": "423-843-2020",
            "fax_number": "423-842-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON B RHODES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAYTON B RHODES OD PC",
        "enumeration_date": "2008-02-26",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "423-843-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "2008500",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hixson EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.