NPIMap

Organization Active NPI

Steven D. Elliott, O.D. & Associates, Inc.

Doing business as Volunteer Eye Care, Clinton

  • Optometrist
  • Clinton, TN
National Provider Identifier
1609231752
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD000002347 Issued in TN
Legal business name
STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.
Doing business as
Volunteer Eye Care, Clinton
Practice address
2681 Andersonville Hwy Ste 101
Clinton, TN 37716-6706
Phone
(865) 457-2020
Fax
(865) 494-3930
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Steven D Elliott, ODNPI 1306904107
Title
Owner/President
Phone
(865) 922-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD000002347 TN Primary

Addresses

Primary practice location

2681 Andersonville Hwy Ste 101
Clinton, TN 37716-6706

Mailing address

2681 Andersonville Hwy Ste 101
Clinton, TN 37716-6706
Phone (865) 457-2020

Other identifiers 2

IdentifierTypeStateIssuer
1526669MedicaidTN
4290034OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE

Other names 1

  • Volunteer Eye Care, Clinton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steven D Elliott OD Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1609231752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 ANDERSONVILLE HWY STE 101",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166706",
            "telephone_number": "865-457-2020",
            "fax_number": "865-494-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 ANDERSONVILLE HWY STE 101",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166706",
            "telephone_number": "865-457-2020",
            "fax_number": "865-494-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-922-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD000002347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526669",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "4290034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteer Eye Care, Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.