Organization Active NPI

Toomey & Baggett Eyecare Clinic, PLLC

  • Optometrist
  • Athens, TN
National Provider Identifier
1700905239
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T923 Issued in TN
Legal business name
TOOMEY & BAGGETT EYECARE CLINIC, PLLC
Practice address
406 W Madison Ave
Athens, TN 37303-4232
Phone
(423) 746-9988
Fax
(423) 746-9984
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Mrs. Shannon Dee Willis
Title
Insurance and Billing Dept.
Phone
(423) 746-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T923 TN Primary

Addresses

Primary practice location

406 W Madison Ave
Athens, TN 37303-4232

Mailing address

406 W Madison Ave
Athens, TN 37303-4232
Phone (423) 746-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000178 TN Part B Supplier - Clinic/Group Practice 7012074719 Receives reassigned benefits from 4 practitioners
Practice locations: Athens, TN; Cleveland, TN

National Provider Directory

National Provider Directory

Locations

406 W Madison Ave
Athens, TN 37303
Phone (423) 746-9988

862 Callen Ln NW
Cleveland, TN 37312
Phone (423) 331-5025

862 Callen Ln NW
Ste 120
Cleveland, TN 37312
Phone (423) 819-8118

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1700905239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034232",
            "telephone_number": "423-746-9988",
            "fax_number": "423-746-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034232",
            "telephone_number": "423-746-9988",
            "fax_number": "423-746-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOMEY & BAGGETT EYECARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "INSURANCE AND BILLING DEPT.",
        "authorized_official_telephone_number": "423-746-9988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.