NPIMap

Organization Active NPI

Clancy Optical Company

  • Eyewear Supplier
  • Knoxville, TN
National Provider Identifier
1700050648
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
93734 Issued in TN
Legal business name
CLANCY OPTICAL COMPANY
Practice address
9700 Kingston Pike
Ste 15
Knoxville, TN 37922-3340
Phone
(865) 539-2835
Fax
(865) 539-3737
NPI assigned
Apr 22, 2008
Last updated
Dec 22, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CLANCY OPTICAL COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Mr. Stephen P Clancy, DPO
Title
President
Phone
(865) 584-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 93734 TN Primary

Addresses

Primary practice location

9700 Kingston Pike
Ste 15
Knoxville, TN 37922-3340

Mailing address

4620 Kingston Pike
Knoxville, TN 37919-5230
Phone (865) 584-7739

National Provider Directory

National Provider Directory
Tax ID family
Clancy Optical Company3 organizations share this tax ID, including this one
Part of
Clancy Optical Company

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9700 Kingston Pike
Ste 15
Knoxville, TN 37922
Phone (865) 539-2835

Practitioners & affiliated clinicians

Practitioners 3

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1700050648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195230",
            "telephone_number": "865-584-7739",
            "fax_number": "865-584-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 KINGSTON PIKE",
            "address_2": "STE 15",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223340",
            "telephone_number": "865-539-2835",
            "fax_number": "865-539-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCY OPTICAL COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLANCY OPTICAL COMPANY",
        "enumeration_date": "2008-04-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-584-3624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "93734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 22, 2015; 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.