Organization Active NPI

Campbell Cunningham & Taylor, PC

Doing business as Andes Optical

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1619426566
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OD1240 Issued in TN
Legal business name
CAMPBELL CUNNINGHAM & TAYLOR, PC
Doing business as
Andes Optical
Practice address
4613 Papermill Dr
Knoxville, TN 37909-1971
Phone
(865) 584-8551
Fax
(865) 584-0829
NPI assigned
Oct 3, 2016
Last updated
Mar 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Rhonda Garrison
Title
Credentialing Coordinator
Phone
(865) 584-2127

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OD2250 TN
Durable Medical Equipment & Medical Supplies 332B00000X OD0520 TN
Durable Medical Equipment & Medical Supplies 332B00000X OD3062 TN
Durable Medical Equipment & Medical Supplies 332B00000X OD2937 TN
Durable Medical Equipment & Medical Supplies 332B00000X MD16011 TN
Durable Medical Equipment & Medical Supplies 332B00000X MD21400 TN
Durable Medical Equipment & Medical Supplies 332B00000X MD29986 TN
Durable Medical Equipment & Medical Supplies 332B00000X MD34217 TN
Durable Medical Equipment & Medical Supplies 332B00000X MD49890 TN
Durable Medical Equipment & Medical Supplies 332B00000X OD1240 TN Primary

Addresses

Primary practice location

4613 Papermill Dr
Knoxville, TN 37909-1971

Mailing address

4613 Papermill Dr
Knoxville, TN 37909-1971
Phone (865) 584-8551

Other names 1

  • Andes Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Campbell Cunningham Tayloe5 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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1619426566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091971",
            "telephone_number": "865-584-8551",
            "fax_number": "865-584-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091971",
            "telephone_number": "865-584-8551",
            "fax_number": "865-584-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CUNNINGHAM & TAYLOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "865-584-2127"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD2250",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD0520",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD3062",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD2937",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD16011",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD21400",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD29986",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD34217",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD49890",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD1240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andes Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.