Blount County Eye Center, PLLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

ODT694 Issued in TN

Legal business name

BLOUNT COUNTY EYE CENTER, PLLC

Practice address

1732 W Broadway Ave
Maryville, TN 37801-5510

Phone

(865) 982-6761

Fax

(865) 982-7402

NPI assigned

Sep 24, 2007

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert B Duvall, OD

Title

Manager

Phone

(865) 982-6761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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.

• Alex Bonk, O.D.

  • Optometrist
  • Maryville, TN
  • NPI 1962841981
  Medicare reassignment Care Compare group NPD
• Matthew McBride, OD

  • Optometrist
  • Maryville, TN
  • NPI 1639731094
  Medicare reassignment Care Compare group NPD
• Sarah M. Watkins, O.D.

  • Optometrist
  • Maryville, TN
  • NPI 1518018753
  Medicare reassignment Care Compare group NPD
• David Oliver Sims, O.D

  • Optometrist
  • Houston, TX
  • NPI 1306929138

  TN

  Medicare reassignment Care Compare group NPD
• Lloyd Alton Tantum, O.D.

  • Corneal and Contact Management Optometrist
  • Maryville, TN
  • NPI 1326007592
  Medicare reassignment NPD
• William Tantum, O.D.

  • Optometrist
  • Maryville, TN
  • NPI 1316350291
  Medicare reassignment NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1699961631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S FOOTHILLS PLAZA DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378012300",
            "telephone_number": "865-982-6761",
            "fax_number": "865-982-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015510",
            "telephone_number": "865-982-6761",
            "fax_number": "865-982-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNT COUNTY EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-982-6761",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "ODT694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Diane Blevins, FNP
• Wanda Blevins
• Bloom Well Counseling, LLC
• Graysen McConnell Bloom, DDS
• Blount County Children's Advocacy Center
• Blount Discount Pharmacy Inc (Blount Discount Pharmacy-LTC)
• Blount Discount Pharmacy Inc (Blount Discount Pharmacy - West)
• Blount Discount Pharmacy Inc (Blount Discount Pharmacy - Bmh)
• Blount Gastroenterology Assoc PC
• Blount Hearing & Speech Services, Inc.

• Corneal and Contact Management Optometrist in Maryville, TN
• Providers in Maryville, TN by specialty
• Corneal and Contact Management Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.