Cumberland Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0729 Issued in TN

Legal business name

CUMBERLAND OPTICAL

Practice address

33 W Adams St
Crossville, TN 38555-4836

Phone

(931) 484-9548

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Pricilla A Kirk

Title

Optician

Phone

(931) 484-9548

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770600272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554836",
            "telephone_number": "931-484-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554836",
            "telephone_number": "931-484-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "PRICILLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "931-484-9548"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "0729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1421213",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00116592",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3560691",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Medical Center, Inc.
• Cumberland Medical Center, Inc.
• Cumberland Medical Center, Inc.
• Cumberland Neuro Rehab Center
• Cumberland Occupational and Urgent Care Center LLC
• Cumberland Physician Group, LLC
• Cumberland Podiatric Surgeons Inc
• Cumberland Radiology Group PC
• Cumberland Rheumatology
• Cumberland Rheumatology PLLC

• Eyewear Supplier in Crossville, TN
• Providers in Crossville, TN by specialty
• Eyewear Supplier in Tennessee

• 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.