Organization Active NPI

The Eye Group, P. C.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1417037136
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0873 Issued in TN
Legal business name
THE EYE GROUP, P. C.
Practice address
11124 Kingston Pike
Suite 127
Knoxville, TN 37934
Phone
(865) 966-2020
Fax
(865) 966-7332
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Joseph T Manning, O. D.NPI 1073547352
Title
President
Phone
(865) 966-2020

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
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0873 TN Primary

Addresses

Primary practice location

11124 Kingston Pike
Suite 127
Knoxville, TN 37934

Mailing address

11124 Kingston Pike
Suite 127
Knoxville, TN 37934
Phone (865) 966-2020

Other identifiers 1

IdentifierTypeStateIssuer
3598953MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000117 TN Part B Supplier - Clinic/Group Practice 3779598248 Receives reassigned benefits from 6 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

11130 Kingston Pike
Ste 2
Knoxville, TN 37934
Phone (865) 966-2020

7220 Chapman Hwy
Knoxville, TN 37920
Phone (865) 579-4895

11124 Kingston Pike
Ste 127
Knoxville, TN 37934
Phone (865) 966-2020

Practitioners & affiliated clinicians

Practitioners 6

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1417037136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "address_2": "SUITE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-966-2020",
            "fax_number": "865-966-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "address_2": "SUITE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-966-2020",
            "fax_number": "865-966-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE GROUP, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-966-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598953",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.