Brookside Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROOKSIDE VISION CENTER PLLC

Practice address

1936 Brookside Dr Ste a
Kingsport, TN 37660-4654

Phone

(423) 246-3372

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Angela Patteson, ODNPI 1437112984

Title

Owner

Phone

(423) 817-8029

Specialties & licenses 1

Addresses

Other names 1

• Brookside Vision Center PLLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Michelle Patteson, OD

  • Optometrist
  • Johnson City, TN
  • NPI 1437112984
  NPD Authorized official
• Gregory Todd Salyers, OD

  • Optometrist
  • Kingsport, TN
  • NPI 1639239114
  NPD (past)

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1699650184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MILLBROOK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041485",
            "telephone_number": "423-817-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 BROOKSIDE DR STE A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604654",
            "telephone_number": "423-246-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "PATTESON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-817-8029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Vision Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookhaven TN Opco LLC
• Chantel Ruth Brooks, DIPL. O.M. L.AC
• Haven Crawley Brooks, M.S., CCC-SLP
• Brookside Chiropractic, P. C.
• Brookside Vision Center
• Brookstone Dental, PLLC
• Melissa Broome, APRN
• Justin Broughton, FNP-C
• Sherry Michelle Brown Bowen, FNP-BC
• Amy Elizabeth Brown, BA

• Optometrist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.