Organization Active NPI

Greeneville Eye Clinic Optical Shop

  • Optician
  • Greeneville, TN
National Provider Identifier
1730201831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
GREENEVILLE EYE CLINIC OPTICAL SHOP
Practice address
801 E Church St
Greeneville, TN 37745-6219
Phone
(423) 639-6454
Fax
(423) 787-7210
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Jackson Smead, MDNPI 1013927789
Title
Partner
Phone
(423) 639-6454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

801 E Church St
Greeneville, TN 37745-6219

Mailing address

801 E Church St
Greeneville, TN 37745-6219
Phone (423) 639-6454

Other identifiers 1

IdentifierTypeStateIssuer
0134083OtherTNBCBS PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730201831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377456219",
            "telephone_number": "423-639-6454",
            "fax_number": "423-787-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377456219",
            "telephone_number": "423-639-6454",
            "fax_number": "423-787-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE EYE CLINIC OPTICAL SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMEAD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "423-639-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0134083",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.