Active NPI
Retinavue PC
- Ophthalmology Physician
- Mount Juliet, TN
National Provider Identifier
1437429255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33959
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Skaneateles Falls, NY
- NPI 1003036203
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.