Organization Active NPI

Norman Regional Eye Center, LLC

  • Ophthalmology Physician
  • Cookeville, TN
National Provider Identifier
1366729873
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000020783 Issued in TN
Legal business name
NORMAN REGIONAL EYE CENTER, LLC
Practice address
125 S Jefferson Ave
Cookeville, TN 38501-3424
Phone
(972) 804-4690
NPI assigned
Nov 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Dr. Charles Randall Norman, M.D.
Title
President
Phone
(972) 804-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD0000020783 TN Primary

Addresses

Primary practice location

125 S Jefferson Ave
Cookeville, TN 38501-3424

Mailing address

125 S Jefferson Ave
Cookeville, TN 38501-3424
Phone (972) 804-4690

National Provider Directory

National Provider Directory

Locations

125 S Jefferson Ave
Cookeville, TN 38501
Phone (931) 526-7581

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": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1366729873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013424",
            "telephone_number": "972-804-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013424",
            "telephone_number": "972-804-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN REGIONAL EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-804-4690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000020783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.