Individual provider Active NPI

Emily Pratt, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1568243889
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3847 Issued in TN
Practice address
2960 Miller Place Way
Knoxville, TN 37924-1673
Phone
(865) 525-9520
NPI assigned
Oct 12, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3847 TN Primary

Addresses

Primary practice location

2960 Miller Place Way
Knoxville, TN 37924-1673

Mailing address

2644 Honey Hill Rd
Knoxville, TN 37924-1158
Phone (606) 269-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101003376 TN Practitioner - Optometry 5890141402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3847TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Nov 7, 2023 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Nov 7, 2023 Accepting new patients

Locations

2960 Miller Place Way
Knoxville, TN 37924
Phone (865) 525-9520

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1568243889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 HONEY HILL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379241158",
            "telephone_number": "606-269-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MILLER PLACE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379241673",
            "telephone_number": "865-525-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.