Active NPI
Truelight Eye Care, PLLC
- Optometrist
- Johnson City, TN
National Provider Identifier
1801051750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1296
- Legal business name
- TRUELIGHT EYE CARE, PLLC
- Practice address
- 2306 Knob Creek Rd
#106
Johnson City, TN 37604-2366 - Phone
- (423) 929-2020
- Fax
- (423) 929-3140
- NPI assigned
- Jul 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathryn Allyson Bohlman, O.D.
- Title
- Optometrist
- Phone
- (423) 929-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1663 | TN | |
| Optometrist | 152W00000X | 1296 | TN | Primary |
Addresses
Primary practice location
2306 Knob Creek Rd
#106
Johnson City, TN 37604-2366
Mailing address
2306 Knob Creek Rd
#106
Johnson City, TN 37604-2366
Phone (423) 929-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801051750 | Other | TN | GROUP PROVIDER -SUPPLIER NPI |
| 1506422 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1304 Patton Ave
Asheville, NC 28806
2306 Knob Creek Rd
Ste 106
Johnson City, TN 37604
Phone (423) 929-2020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Johnson City, TN
- NPI 1780953364
-
- Optometrist
- Elizabethton, TN
- NPI 1013925791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1801051750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 KNOB CREEK RD",
"address_2": "#106",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042366",
"telephone_number": "423-929-2020",
"fax_number": "423-929-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 KNOB CREEK RD",
"address_2": "#106",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042366",
"telephone_number": "423-929-2020",
"fax_number": "423-929-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUELIGHT EYE CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-21",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "BOHLMAN",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "ALLYSON",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "423-929-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "1663",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "1296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PROVIDER -SUPPLIER NPI",
"identifier": "1801051750",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506422",
"state": "TN"
}
],
"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 Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.