Active NPI
Katherine Petrinjak Sullins, OD
- Optometrist
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3945
- Practice address
- 517 N Jackson St
Athens, TN 37303-3621 - Phone
- (423) 745-4910
- Fax
- (423) 745-2230
- NPI assigned
- Jul 5, 2025
- Last updated
- Jul 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3945 | TN | Primary |
Addresses
Primary practice location
517 N Jackson St
Athens, TN 37303-3621
Mailing address
517 N Jackson St
Athens, TN 37303-3621
Phone (423) 745-4910
Other practice location 1
620 Englewood Rd
Madisonville, TN 37354-1218
Phone (423) 442-2806
Other names 1
- Katherine Sloan Petrinjak
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
517 N Jackson St
Athens, TN 37303-3621
Phone 4237454910312
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3945 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sullins Eye Care P.C. | Optometrist | Current | Accepting new patients |
| Sullins Eye Care P.C. | Optometrist | Current | Accepting new patients |
| Southeastern Retina Associates, P.C. | Past | Accepting new patients | |
| Athens Eye Care Center, P.C. | Optometrist | Past | Accepting new patients |
Locations
517 N Jackson St
Athens, TN 37303
Phone (423) 745-4910
620 Englewood Rd
Madisonville, TN 37354
Phone (423) 442-2806
Organizations & group practices 4
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.
-
- Optometrist
- Madisonville, TN
- NPI 1720142771
-
- Retina Specialist (Ophthalmology) Physician
- Hixson, TN
- NPI 1104097310
-
- Optometrist
- Athens, AL
- NPI 1881781268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751673600000",
"number": "1578453239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N JACKSON ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033621",
"telephone_number": "423-745-4910",
"fax_number": "423-745-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N JACKSON ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033621",
"telephone_number": "423-745-4910",
"fax_number": "423-745-2230"
}
],
"practiceLocations": [
{
"address_1": "620 Englewood Rd",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "TN",
"postal_code": "373541218",
"country_code": "US",
"telephone_number": "423-442-2806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLINS",
"first_name": "KATHERINE",
"middle_name": "PETRINJAK",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-05",
"last_updated": "2025-07-05",
"certification_date": "2025-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "PETRINJAK",
"middle_name": "SLOAN",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.