NPIMap

Organization Active NPI

Steven D. Elliott, O.D. & Associates, Inc.

  • Optometrist
  • Maryville, TN
National Provider Identifier
1336504711
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD000002347 Issued in TN
Legal business name
STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.
Practice address
730 W Lamar Alexander Pkwy
Maryville, TN 37801-3900
Phone
(865) 982-2020
Fax
(865) 970-2020
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Steven D Elliott, OD
Title
Owner/President
Phone
(865) 922-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD000002347 TN Primary

Addresses

Primary practice location

730 W Lamar Alexander Pkwy
Maryville, TN 37801-3900

Mailing address

730 W Lamar Alexander Pkwy
Maryville, TN 37801-3900
Phone (865) 982-2020

Other identifiers 2

IdentifierTypeStateIssuer
1526669MedicaidTN
4290034OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE

Other names 1

  • Volunteer Eye Care, Maryville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steven D Elliott OD Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1336504711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013900",
            "telephone_number": "865-982-2020",
            "fax_number": "865-970-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013900",
            "telephone_number": "865-982-2020",
            "fax_number": "865-970-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-922-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD000002347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526669",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "4290034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteer Eye Care, Maryville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.