NPIMap

Organization Active NPI

Luttrell's Eyewear

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1326228206
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1190 Issued in TN
Legal business name
LUTTRELL'S EYEWEAR
Practice address
5030 Kingston Pike
Knoxville, TN 37919-5187
Phone
(865) 588-4052
NPI assigned
Nov 8, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Bobby G Luttrell, D. O.NPI 1093862005
Title
Chief Manager
Phone
(865) 588-4052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1190 TN Primary

Addresses

Primary practice location

5030 Kingston Pike
Knoxville, TN 37919-5187

Mailing address

5030 Kingston Pike
Knoxville, TN 37919-5187
Phone (865) 588-4052

Other identifiers 1

IdentifierTypeStateIssuer
4094205OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5030 Kingston Pike
Knoxville, TN 37919
Phone (865) 588-4052

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1326228206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195187",
            "telephone_number": "865-588-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195187",
            "telephone_number": "865-588-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTTRELL'S EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LUTTRELL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "865-588-4052",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "1190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4094205",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2018; 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.