Organization Active NPI

Morristown Regional Eye Center

  • Ophthalmology Physician
  • Morristown, TN
National Provider Identifier
1336135847
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MORRISTOWN REGIONAL EYE CENTER
Practice address
3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614
Phone
(423) 581-0360
Fax
(423) 317-6581
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Charles H Lindsey, MD
Title
President
Phone
(423) 581-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614

Mailing address

3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614
Phone (423) 581-0360

Other identifiers 1

IdentifierTypeStateIssuer
3379677MedicaidTN

National Provider Directory

National Provider Directory

Locations

3001 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-0360

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1336135847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143614",
            "telephone_number": "423-581-0360",
            "fax_number": "423-317-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143614",
            "telephone_number": "423-581-0360",
            "fax_number": "423-317-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN REGIONAL EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-581-0360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3379677",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.