River Valley Eye Clinic P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000002255 Issued in TN

Legal business name

RIVER VALLEY EYE CLINIC P C

Practice address

215 Holly LN
Waverly, TN 37185-1531

Phone

(931) 296-1990

Fax

(931) 296-1899

NPI assigned

Dec 15, 2006

Last updated

Jul 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Marie Thompson

Title

Office Manager

Phone

(931) 296-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Ross B Lumpkin, OD

  • Optometrist
  • Camden, TN
  • NPI 1841518479
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1316009319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HOLLY LN",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371853387",
            "telephone_number": "931-296-1990",
            "fax_number": "931-296-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HOLLY LN",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851531",
            "telephone_number": "931-296-1990",
            "fax_number": "931-296-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY EYE CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-296-1990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719356",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Pediatrics LLP
• Tonya Michelle Reynoldson, OD
• Frances Geraldine Rich, LPC
• Michael Richardson, PHARMD
• Richland Creek Dental Group, PLLC (East Hills Dental Center - Waverly)
• Brenda Sue Rogerson, CCC-SLP
• Emma Rowlett
• Edwin Will Harris Scott, DMD
• Judy Darlene Sherrod, R.N.
• Lana Shoulders, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.