Active NPI
David A Patton, O.D.
- Optometrist
- Knoxville, TN
National Provider Identifier
1700845450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TN0628
- Practice address
- 715 Callahan Dr
Knoxville, TN 37912 - Phone
- (865) 687-1232
- Fax
- (865) 687-8256
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN0628 | TN | Primary |
Addresses
Primary practice location
715 Callahan Dr
Knoxville, TN 37912
Mailing address
715 Callahan Dr
P.O. Box 12218
Knoxville, TN 37912
Phone (865) 687-1232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0708260001 | Other | TN | MEDICARE, DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN0628 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1700845450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 CALLAHAN DR",
"address_2": "P.O. BOX 12218",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37912",
"telephone_number": "865-687-1232",
"fax_number": "865-687-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 CALLAHAN DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37912",
"telephone_number": "865-687-1232",
"fax_number": "865-687-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "DAVID",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "TN0628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, DMERC",
"identifier": "0708260001",
"state": "TN"
}
],
"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 Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.