NPIMap

Organization Active NPI

Knoxville Eye Surgery Center, LLC

Doing business as Tennessee Valley Optical Center

  • Eyewear Supplier
  • Knoxville, TN
National Provider Identifier
1326217647
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
DPO980 Issued in TN
Legal business name
KNOXVILLE EYE SURGERY CENTER, LLC
Doing business as
Tennessee Valley Optical Center
Practice address
140 Capitol Dr
Knoxville, TN 37922-3343
Phone
(865) 251-0340
Fax
(865) 251-0330
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
KNOXVILLE EYE SURGERY CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Mr. Larry R Rauen
Title
Chief Manager
Phone
(865) 544-6912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X DPO980 TN Primary

Addresses

Primary practice location

140 Capitol Dr
Knoxville, TN 37922-3343

Mailing address

140 Capitol Dr
Knoxville, TN 37922-3343
Phone (865) 251-0340

Other names 1

  • Tennessee Valley Optical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Valley Eye Su2 organizations share this tax ID, including this one
Part of
Tennessee Valley Eye Su

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1326217647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CAPITOL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223343",
            "telephone_number": "865-251-0340",
            "fax_number": "865-251-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CAPITOL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223343",
            "telephone_number": "865-251-0340",
            "fax_number": "865-251-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE EYE SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KNOXVILLE EYE SURGERY CENTER, LLC",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "RAUEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "865-544-6912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "DPO980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Valley Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.