Chattanooga Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHATTANOOGA EYE CARE

Practice address

1201 Market St Ste B
Chattanooga, TN 37402-2714

Phone

(423) 468-3305

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Chad Davis, OD

Title

Owner

Phone

(256) 233-2393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chattanooga Eye Care

  • Optometrist
  • Ooltewah, TN
  • NPI 1417594532

  O20171113001261

  Same enrollment

Tax ID family

Chattanooga Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chattanooga Eye Care

  • Optometrist
  • Ooltewah, TN
  • NPI 1417594532
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Kane, OD

  • Optometrist
  • Huntsville, AL
  • NPI 1760104749
  NPD
• Cheryl Lynn Wiltse, O.D.

  • Optometrist
  • Ooltewah, TN
  • NPI 1417333634
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1477082287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356121189",
            "telephone_number": "256-233-2393",
            "fax_number": "256-233-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MARKET ST STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022714",
            "telephone_number": "423-468-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5243 Little Debbie Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373634515",
            "country_code": "US",
            "telephone_number": "423-468-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHATTANOOGA EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-233-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattanooga Diagnostic Imaging
• Chattanooga Durable Medical Equipment, LLC
• Chattanooga Ear Nose & Throat Assoc., P.C.
• Chattanooga Emergency Medicine PLLC
• Chattanooga Endoscopy ASC LLC
• Chattanooga Eye Institute,P.C.
• Chattanooga Family and Sports Medical Center, PLLC
• Chattanooga Family Chiropractic, LLC
• Chattanooga Family Practice Associates, P.C.
• Chattanooga Foot & Ankle Center, Inc.

• Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.