Medina Eye Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1677 Issued in TN

Legal business name

MEDINA EYE CLINIC PC

Practice address

615 Hwy 45 South
Medina, TN 38355-0479

Phone

(731) 584-7942

Fax

(731) 584-7965

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Holly Michelle Harrison, O.D.

Title

Optometrist

Phone

(731) 584-7942

Specialties & licenses 1

Addresses

Practitioners 1

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

• Emma W Scott, OD

  • Optometrist
  • Camden, TN
  • NPI 1427525849
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1306284229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 865",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201329",
            "telephone_number": "731-584-7942",
            "fax_number": "731-584-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HWY 45 SOUTH",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383550479",
            "telephone_number": "731-584-7942",
            "fax_number": "731-584-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "731-584-7942",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&J Health Services, LLC
• Molly Lee, O.D.
• Jimmy R Lewis
• Martin Family Chiropractic
• Heather Ann Martin, D.C.
• Medina Eyecare
• Medina Family Chiropractic LLC
• Medina Family Medical Clinic PC
• Medina Health & Rehabilitation LLC
• Kimberle Anne Moody, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.