Organization Active NPI

Eyedoc, PC

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1457523862
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1340 Issued in TN
Legal business name
EYEDOC, PC
Practice address
10745 Kingston Pike
Knoxville, TN 37934-3002
Phone
(865) 288-3235
Fax
(865) 288-7714
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Jeffrey S. Silbernagel, O.D
Title
President
Phone
(504) 616-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1340 TN Primary

Addresses

Primary practice location

10745 Kingston Pike
Knoxville, TN 37934-3002

Mailing address

445 W Blount Ave
Suite 109
Knoxville, TN 37920-1106
Phone (865) 288-3235

Other identifiers 1

IdentifierTypeStateIssuer
Q008339MedicaidTN

Other names 1

  • Dr. Jeffrey Silbernagel,OD Other name

National Provider Directory

National Provider Directory

Locations

5030 Kingston Pike
Knoxville, TN 37919
Phone (865) 588-4052

Practitioners & affiliated clinicians

Practitioners 5

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1457523862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W BLOUNT AVE",
            "address_2": "SUITE 109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201106",
            "telephone_number": "865-288-3235",
            "fax_number": "865-288-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343002",
            "telephone_number": "865-288-3235",
            "fax_number": "865-288-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "SILBERNAGEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-616-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008339",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jeffrey Silbernagel,OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 15, 2016; 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.