Individual provider Active NPI

Elissa B Fleming, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1407021454
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD2765 Issued in TN
Practice address
320 Cheshire Dr
Knoxville, TN 37919-5813
Phone
(800) 500-4667
Fax
(833) 448-2982
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD2765 TN Primary

Addresses

Primary practice location

320 Cheshire Dr
Knoxville, TN 37919-5813

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382
Phone (865) 584-4747

Other practice location 1

1798 Roane State Hwy
Harriman, TN 37748-8305
Phone (865) 882-7470

Other practice location 2

5491 Creekwood Park Blvd
Lenoir City, TN 37772-1204
Phone (800) 500-4667

Other practice location 3

1639 W Morris Blvd
Morristown, TN 37813-2832
Phone (800) 500-4667

Other practice location 4

7714 Conner Rd Ste 102
Powell, TN 37849-3559
Phone (800) 500-4667

Other identifiers 2

IdentifierTypeStateIssuer
4187884OtherTNBLUE CROSS
CF9659OtherTNMEDICARE RAILROAD

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address efleming@tneyecare.intellechartdirect.new
Direct Messaging Address efleming@knoxeye.intellechartdirect.net Knoxville Eye Center LLC
Direct Messaging Address efleming@tneyecare.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000354 TN Practitioner - Optometry 6002988821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

320 Cheshire Dr
Knoxville, TN 37919-5813
Phone (800) 500-4667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD2765TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Feb 8, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 8, 2024 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1798 Roane State Hwy
Harriman, TN 37748
Phone (800) 500-4667

320 Cheshire Dr
Knoxville, TN 37919
Phone (800) 500-4667

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

5491 Creekwood Park Blvd
Lenoir City, TN 37772
Phone (800) 500-4667

1639 W Morris Blvd
Morristown, TN 37813
Phone (423) 586-0341

7714 Conner Rd
Ste 102
Powell, TN 37849
Phone (800) 500-4667

Interoperability endpoints

  • Direct secure messaging: efleming@tneyecare.intellechartdirect.net
  • Direct secure messaging: elissa.fleming.1@20785.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1407021454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CHESHIRE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195813",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Roane State Hwy",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488305",
            "country_code": "US",
            "telephone_number": "865-882-7470",
            "fax_number": "865-882-2738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5491 Creekwood Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377721204",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 W Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132832",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7714 Conner Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493559",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ELISSA",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4187884",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CF9659",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efleming@tneyecare.intellechartdirect.new",
            "affiliation": "N",
            "address_1": "1798 Roane State Hwy",
            "city": "Harriman",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377488305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efleming@knoxeye.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Knoxville Eye Center LLC",
            "address_1": "200 Fort Sanders West Blvd",
            "address_2": "Ste 101",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379223357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efleming@tneyecare.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1798 Roane State Hwy",
            "city": "Harriman",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377488305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.