Individual provider Active NPI

Steven D. Elliott, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1306904107
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T-OD-2347 Issued in TN
Practice address
6719 Maynardville Pike
Knoxville, TN 37918-5348
Phone
(865) 922-3937
Fax
(865) 922-8412
NPI assigned
Dec 5, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T-OD-2347 TN Primary

Addresses

Primary practice location

6719 Maynardville Pike
Knoxville, TN 37918-5348

Mailing address

6719 Maynardville Pike
Knoxville, TN 37918-5348
Phone (865) 922-3937

Other practice location 1

2681 Andersonville Hwy
Ste 101
Clinton, TN 37716
Phone (865) 494-3937

Other practice location 2

2681 Andersonville Hwy
Ste 101
Clinton, TN 37716
Phone (865) 494-3937

Other practice location 3

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

Other practice location 4

730 W LaMar Alexander Pkwy
Maryville, TN 37801-3900
Phone (865) 982-2020

Other practice location 5

15247 Rankin Ave
Dunlap, TN 37327-7051
Phone (423) 949-2020

Other identifiers 3

IdentifierTypeStateIssuer
3945379MedicaidTN
4595260001OtherTNPTAN FOR ELLIOTT EYECARE CENTER
4595260002OtherTNPTAN FOR FOUNTAIN CITY EYECARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000671 TN Practitioner - Optometry 3971596982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Elliott OD and Associates IncGroup PAC ID 3577752526, 9 clinicians

Practice addresses (Care Compare)

2681 Andersonville Hwy
Suite 101
Clinton, TN 37716-6706
Phone (865) 457-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-OD-2347TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Market, Inc. Optometrist Current Accepting new patients
Appalachia Family Dentistry Past Accepting new patients
Steven D. Elliott, O.D. & Associates, Inc Optometrist PastSince Sep 6, 2020 Accepting new patients
Steven D. Elliott, O.D. & Associates, Inc. Optometrist PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306904107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185348",
            "telephone_number": "865-922-3937",
            "fax_number": "865-922-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185348",
            "telephone_number": "865-922-3937",
            "fax_number": "865-922-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2681 Andersonville Hwy",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "TN",
            "postal_code": "37716",
            "country_code": "US",
            "telephone_number": "865-494-3937",
            "fax_number": "865-494-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2681 Andersonville Hwy",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "TN",
            "postal_code": "37716",
            "country_code": "US",
            "telephone_number": "865-494-3937",
            "fax_number": "865-494-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Chapman Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379203058",
            "country_code": "US",
            "telephone_number": "865-577-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 W LaMar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378013900",
            "country_code": "US",
            "telephone_number": "865-982-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15247 Rankin Ave",
            "address_purpose": "LOCATION",
            "city": "Dunlap",
            "state": "TN",
            "postal_code": "373277051",
            "country_code": "US",
            "telephone_number": "423-949-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "STEVEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T-OD-2347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945379",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR ELLIOTT EYECARE CENTER",
            "identifier": "4595260001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR FOUNTAIN CITY EYECARE",
            "identifier": "4595260002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.