Organization Active NPI

Johnson City Eye Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Johnson City, TN
National Provider Identifier
1720012701
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
0000000145 Issued in TN
Legal business name
JOHNSON CITY EYE SURGERY CENTER
Practice address
2014 Hopewell Dr
Johnson City, TN 37604-2435
Phone
(423) 722-0371
Fax
(423) 722-0365
NPI assigned
Jul 10, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Michelle Hilton
Title
Administrator
Phone
(423) 722-0371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 0000000145 TN Primary

Addresses

Primary practice location

2014 Hopewell Dr
Johnson City, TN 37604-2435

Mailing address

2014 Hopewell Dr
Johnson City, TN 37604-2435
Phone (423) 722-0371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000107 TN Part B Supplier - Ambulatory Surgical Center 4385537224 Practice locations: Johnson City, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Johnson City Eye Surgery CenterCCN 44C0001135
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1017647Johnson City Eye Surgery Center2014 Hopewell Dr, Johnson City, TN 37604Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2014 Hopewell Dr
Johnson City, TN 37604
Phone (423) 722-0371

Practitioners & affiliated clinicians

Practitioners 1

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1720012701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 HOPEWELL DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042435",
            "telephone_number": "423-722-0371",
            "fax_number": "423-722-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 HOPEWELL DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042435",
            "telephone_number": "423-722-0371",
            "fax_number": "423-722-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CITY EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-722-0371"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "TN",
            "license": "0000000145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.