West Tennessee Senior Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WEST TENNESSEE SENIOR EYECARE PLLC

Practice address

460 Tara LN
Huntingdon, TN 38344-2110

Phone

(731) 415-9368

Fax

(731) 986-7981

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 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

Mr. Larry L Nicholson II, OD

Title

Owner

Phone

(731) 415-9368

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, and the practitioner matching its NPPES authorized official.

• Matthew Kurt Mosteller, O.D.

  • Optometrist
  • Cookeville, TN
  • NPI 1255320859
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1316272040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7756",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040756",
            "telephone_number": "252-985-1371",
            "fax_number": "252-467-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 TARA LN",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383442110",
            "telephone_number": "731-415-9368",
            "fax_number": "731-986-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE SENIOR EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-415-9368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight A Walls, LCSW
• Tyler S Warbritton, PA-C
• Jessica Louise Warren, DPT
• William Ernest Webb, D.D.S.
• Susan Gamble Weingarten, RN
• Jessica Paige Whitworth, PHARM.D.
• Zoie Wilkes, OTR/L
• James Steven Williamson, M.D.
• Sarah Elizabeth Wiser, PA-C
• Paula Jean Wood, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.