Organization Active NPI

Richard F. Patrick,O.D.,Inc.

  • Optometrist
  • Sevierville, TN
National Provider Identifier
1326351982
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2305 Issued in TN
Legal business name
RICHARD F. PATRICK,O.D.,INC.
Practice address
120 Bruce St
Sevierville, TN 37862-3558
Phone
(865) 453-2025
Fax
(865) 429-1240
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Richard Franklin Patrick, O.D.NPI 1588608020
Title
Owner
Phone
(865) 453-2025

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2305 TN Primary

Addresses

Primary practice location

120 Bruce St
Sevierville, TN 37862-3558

Mailing address

120 Bruce St
Sevierville, TN 37862-3558
Phone (865) 453-2025

Other identifiers 1

IdentifierTypeStateIssuer
3946901MedicaidTN

National Provider Directory

National Provider Directory

Locations

1034 Main St
Bean Station, TN 37708
Phone (865) 993-4047

120 Bruce St
Sevierville, TN 37862
Phone (865) 453-2025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1326351982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRUCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623558",
            "telephone_number": "865-453-2025",
            "fax_number": "865-429-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRUCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623558",
            "telephone_number": "865-453-2025",
            "fax_number": "865-429-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F. PATRICK,O.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-453-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946901",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.