Active NPI
Mountain Empire Eye Physicians PLLC
- Ophthalmology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MOUNTAIN EMPIRE EYE PHYSICIANS PLLC
- Practice address
- 3185 West State Street
Suite 2010
Bristol, TN 37620 - Phone
- (423) 968-7555
- Fax
- (423) 968-7641
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stacy F. Perdue, MBA
- Title
- Administrator
- Phone
- (423) 968-7555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3185 West State Street
Suite 2010
Bristol, TN 37620
Mailing address
2010 Bremo Rd Ste 128a
Richmond, VA 23226-2444
Phone (877) 969-0392
Other practice location 1
224 Clay Dr
Pounding Mill, VA 24637-4320
Phone (888) 857-5033
Other practice location 2
137 Plaza Rd
Wise, VA 24293-4613
Phone (800) 698-3019
Other practice location 3
1020 Terrace Dr Ste 100
Marion, VA 24354-4392
Phone (800) 698-3019
Other practice location 4
2308 Cedar Valley Dr
Cedar Bluff, VA 24609-9302
Phone (800) 698-3019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG3621 | Other | GA | RAILROAD MEDICARE |
| CG3622 | Other | VA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2314912 | Mountain Empire Eye Physicians | Certificate of waiver | Dec 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
3183 W State St
Ste 1101
Bristol, TN 37620
Phone (423) 968-2772
2308 Cedar Valley Dr
Cedar Bluff, VA 24609
Phone (276) 963-9616
1020 Terrace Dr
Marion, VA 24354
Phone (276) 783-2511
1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157
224 Clay Dr
Pounding Mill, VA 24637
Phone (229) 395-9181
135 Plaza Rd
Wise, VA 24293
Phone (540) 679-5612
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Bristol, TN
- NPI 1558529552
-
- Ophthalmology Physician
- Portsmouth, VA
- NPI 1437386737
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1336138924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1609969682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 BREMO RD STE 128A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262444",
"telephone_number": "877-969-0392",
"fax_number": "423-968-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3185 WEST STATE STREET",
"address_2": "SUITE 2010",
"city": "BRISTOL",
"state": "TN",
"postal_code": "37620",
"telephone_number": "423-968-7555",
"fax_number": "423-968-7641"
}
],
"practiceLocations": [
{
"address_1": "224 Clay Dr",
"address_purpose": "LOCATION",
"city": "Pounding Mill",
"state": "VA",
"postal_code": "246374320",
"country_code": "US",
"telephone_number": "888-857-5033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "137 Plaza Rd",
"address_purpose": "LOCATION",
"city": "Wise",
"state": "VA",
"postal_code": "242934613",
"country_code": "US",
"telephone_number": "800-698-3019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 Terrace Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243544392",
"country_code": "US",
"telephone_number": "800-698-3019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2308 Cedar Valley Dr",
"address_purpose": "LOCATION",
"city": "Cedar Bluff",
"state": "VA",
"postal_code": "246099302",
"country_code": "US",
"telephone_number": "800-698-3019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOUNTAIN EMPIRE EYE PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "PERDUE",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "423-968-7555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG3621",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG3622",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.