Active NPI
Tammy Holsclaw-Jones OD PLLC
- Optometrist
- Elizabethton, TN
National Provider Identifier
1407025968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TAMMY HOLSCLAW-JONES OD PLLC
- Practice address
- 210 Rogosin Dr.
Elizabethton, TN 37643 - Phone
- (423) 543-6868
- Fax
- (423) 543-4226
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tammy L. Holsclaw-Jones
- Title
- Optometrist
- Phone
- (423) 543-6868
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Eyewear Supplier | 332H00000X | ODT0000001180 | TN | |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
210 Rogosin Dr.
Elizabethton, TN 37643
Mailing address
210 Rogosin Dr.
Elizabethton, TN 37643
Phone (423) 543-6868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
210 Rogosin Dr
Elizabethton, TN 37643
Phone (423) 543-6868
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Elizabethton, TN
- NPI 1992435010
-
- Optometrist
- Johnson City, TN
- NPI 1427360007
-
- Optometrist
- Elizabethton, TN
- NPI 1457838815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1407025968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ROGOSIN DR.",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "37643",
"telephone_number": "423-543-6868",
"fax_number": "423-543-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ROGOSIN DR.",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "37643",
"telephone_number": "423-543-6868",
"fax_number": "423-543-4226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMMY HOLSCLAW-JONES OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "HOLSCLAW-JONES",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "423-543-6868",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TN",
"license": "ODT0000001180",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.