Organization Active NPI

Foster Family Eyecare, PLLC

  • Optometrist
  • Sweetwater, TN
National Provider Identifier
1356457220
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FOSTER FAMILY EYECARE, PLLC
Doing business as
Foster Family Eyecare, PLLC
Practice address
689A Hwy 68
Sweetwater, TN 37874
Phone
(423) 337-9222
Fax
(423) 337-9099
NPI assigned
Aug 22, 2006
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Macy H Foster, ODNPI 1053322107
Title
Optometrist
Phone
(423) 337-9222

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
Optometrist 152W00000X TN Primary

Addresses

Primary practice location

689A Hwy 68
Sweetwater, TN 37874

Mailing address

689A Hwy 68
Sweetwater, TN 37874
Phone (423) 337-9222

Other identifiers 1

IdentifierTypeStateIssuer
3943858MedicaidTN

Other names 1

  • Foster Family Eyecare, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124000656 TN Part B Supplier - Clinic/Group Practice 1355391731 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Sweetwater, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

689 New Highway 68
#A
Sweetwater, TN 37874
Phone (423) 337-9222

1543 Highway 411
Vonore, TN 37885
Phone (423) 884-2500

Practitioners & affiliated clinicians

Practitioners 4

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1356457220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689A HWY 68",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "37874",
            "telephone_number": "423-337-9222",
            "fax_number": "423-337-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689A HWY 68",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "37874",
            "telephone_number": "423-337-9222",
            "fax_number": "423-337-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MACY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "423-337-9222",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943858",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foster Family Eyecare, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foster Family Eyecare, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.