Individual provider Active NPI

Bradford Mark Emde, O.D.

  • Optometrist
  • Greeneville, TN
National Provider Identifier
1336110709
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD1864 Issued in TN
Practice address
1000 Tusculum Blvd
Ste 4
Greeneville, TN 37745-4056
Phone
(423) 639-8128
Fax
(423) 798-9204
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD1864 TN Primary

Addresses

Primary practice location

1000 Tusculum Blvd
Ste 4
Greeneville, TN 37745-4056

Mailing address

1000 Tusculum Blvd
Ste 4
Greeneville, TN 37745-4056
Phone (423) 639-8128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000320 TN Practitioner - Optometry 4688624372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
East View Eye Care PCGroup PAC ID 3971553660, 4 clinicians

Practice addresses (Care Compare)

1000 Tusculum Blvd
Suite 4
Greeneville, TN 37745-4056
Phone (423) 639-8128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD1864TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East View Eye Care, P.C. Optometrist CurrentSince Nov 18, 2004 Accepting new patients

Locations

1000 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 638-7491

1000 Tusculum Blvd
Ste 4
Greeneville, TN 37745
Phone (423) 639-8128

Interoperability endpoints

  • Direct secure messaging: dremde@eastvieweyecare.eyefinity-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1336110709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TUSCULUM BLVD",
            "address_2": "STE 4",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454056",
            "telephone_number": "423-639-8128",
            "fax_number": "423-798-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TUSCULUM BLVD",
            "address_2": "STE 4",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454056",
            "telephone_number": "423-639-8128",
            "fax_number": "423-798-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMDE",
        "first_name": "BRADFORD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.