Individual provider Active NPI

Ben Deal Parrish, O.D.

  • Optometrist
  • Mountain City, TN
National Provider Identifier
1740303098
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD371 Issued in TN
Practice address
102 Village Square LN
Unit B
Mountain City, TN 37683-1886
Phone
(423) 727-7733
NPI assigned
Apr 9, 2007
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD371 TN Primary

Addresses

Primary practice location

102 Village Square LN
Unit B
Mountain City, TN 37683-1886

Mailing address

103 Willow Creek LN.L
Jonesborough, TN 37659
Phone (423) 741-4554

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

LicenseStateTypeSpecialty
OD371TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick D. Shorter Optometrist Past Accepting new patients
Dr Benjamin D. Parrish and Associates OD PC Optometrist Past Accepting new patients
Dr. Benjamin D. Parrish and Assoc OD. PC Optometrist Past Accepting new patients
Jonesborough Eye Clinic, PLLC Past Accepting new patients
Mountain City Family Vision Inc. Optometrist PastSince Dec 6, 2011 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1740303098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WILLOW CREEK LN.L",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "37659",
            "telephone_number": "423-741-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VILLAGE SQUARE LN",
            "address_2": "UNIT B",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831886",
            "telephone_number": "423-727-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "BEN",
        "middle_name": "DEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.