Organization Active NPI

Fayette Family Vision Care

  • Optometrist
  • Eads, TN
National Provider Identifier
1659800803
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2875 Issued in TN
Legal business name
FAYETTE FAMILY VISION CARE
Practice address
3161 Highway 64 Ste 500
Eads, TN 38028-3370
Phone
(901) 465-3130
NPI assigned
Jun 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Christina Vranich, OD
Title
Managing Member
Phone
(901) 465-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2875 TN Primary

Addresses

Primary practice location

3161 Highway 64 Ste 500
Eads, TN 38028-3370

Mailing address

3161 Highway 64 Ste 500
Eads, TN 38028-3370
Phone (901) 465-3130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659800803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 HIGHWAY 64 STE 500",
            "city": "EADS",
            "state": "TN",
            "postal_code": "380283370",
            "telephone_number": "901-465-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HIGHWAY 64 STE 500",
            "city": "EADS",
            "state": "TN",
            "postal_code": "380283370",
            "telephone_number": "901-465-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE FAMILY VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VRANICH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "901-465-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eads, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.