Organization Active NPI

Retinavue PC

  • Ophthalmology Physician
  • Mount Juliet, TN
National Provider Identifier
1437429255
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33959 Issued in TN
Legal business name
RETINAVUE PC
Practice address
651 S Mount Juliet Rd # 1014
Mount Juliet, TN 37122-6319
Phone
(315) 291-3539
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
James C. O'Connell
Title
VP, US Region & GM Respiratory HTH
Phone
(812) 934-1719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 33959 TN Primary

Addresses

Primary practice location

651 S Mount Juliet Rd # 1014
Mount Juliet, TN 37122-6319

Mailing address

4341 State Street Rd
Skaneateles Falls, NY 13153-5300
Phone (315) 291-3539

National Provider Directory

National Provider Directory

Locations

4341 State Street Rd
Skaneateles Falls, NY 13153
Phone (315) 685-4437

320 N Cedar Bluff Rd
Ste 325
Knoxville, TN 37923

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1437429255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 STATE STREET RD",
            "city": "SKANEATELES FALLS",
            "state": "NY",
            "postal_code": "131535300",
            "telephone_number": "315-291-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MOUNT JULIET RD # 1014",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "315-291-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINAVUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP, US REGION & GM RESPIRATORY HTH",
        "authorized_official_telephone_number": "812-934-1719"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "33959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.