Individual provider Active NPI

Wesley Chamberlin, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1780748814
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2393 Issued in TN
Practice address
7600 Kingston Pike Ste 1110-a
Knoxville, TN 37919-5603
Phone
(865) 531-3295
Fax
(865) 531-8937
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001341 TN Practitioner - Optometry 0446449722 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Jul 9, 2002 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Jul 9, 2002 Accepting new patients

Locations

5304 Mount View Rd
#J
Antioch, TN 37013
Phone (615) 731-2701

2801 Wilma Rudolph Blvd
Ste 475
Clarksville, TN 37040
Phone (931) 553-8033

231 New Byhalia Rd
Ste 100
Collierville, TN 38017
Phone (901) 854-6798

1800 Galleria Blvd
Ste 1330
Franklin, TN 37067
Phone (615) 771-7382

1150 Vann Dr
Jackson, TN 38305
Phone (731) 668-3806

2960 Miller Place Way
Knoxville, TN 37924
Phone (865) 525-9520

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

6800 Charlotte Pike
Ste 110
Nashville, TN 37209
Phone (615) 354-5807

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2393 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

7600 Kingston Pike Ste 1110-a
Knoxville, TN 37919-5603

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6664

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3945425MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780748814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6664",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 KINGSTON PIKE STE 1110-A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195603",
            "telephone_number": "865-531-3295",
            "fax_number": "865-531-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "WESLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945425",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.