West Wellness PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WEST WELLNESS PLLC

Practice address

2824 Appalachian Hwy
Jacksboro, TN 37757-2813

Phone

(865) 748-0061

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Heather West, ODNPI 1366671646

Title

Sole Member

Phone

(865) 748-0061

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Renee West, O.D.

  • Optometrist
  • Knoxville, TN
  • NPI 1366671646
  NPD Authorized official

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1376355487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 FELTY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185015",
            "telephone_number": "865-748-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 APPALACHIAN HWY",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572813",
            "telephone_number": "865-748-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "865-748-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518160",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366671646",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Justin Lee Wilson, DPH
• Anne Marie Wood
• Mallory Woods, NP
• Amy Young, FNP
• Margaret Reid Young, CPNP

• Optometrist in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.