The Regional Eye Center, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE REGIONAL EYE CENTER, P.C.

Practice address

4 Sheridan SQ
Suite 102
Kingsport, TN 37660-7435

Phone

(423) 246-8196

Fax

(423) 246-2308

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

John T Williams

Title

Ceo

Phone

(423) 246-7372

Specialties & licenses 1

Addresses

Other names 1

• The Regional Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Regional Eye Center, PC

  • Ophthalmology Physician
  • Kingsport, TN
  • NPI 1932138849

  O20040726001153

  Same enrollment
• The Regional Eye Center, P.C.

  • Ophthalmology Physician
  • Bristol, TN
  • NPI 1902959844

  O20040726001153

  Same enrollment

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1811040751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W RAVINE RD",
            "address_2": "SUITE 2C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603847",
            "telephone_number": "423-246-7372",
            "fax_number": "423-578-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN SQ",
            "address_2": "SUITE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607435",
            "telephone_number": "423-246-8196",
            "fax_number": "423-246-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGIONAL EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-246-7372"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Regional Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Beauty Studio Medical Aesthetics
• The Blake at Kingsport Operating Co, LLC
• The Concierge Clemson
• The Infusion Clinic
• The Practical Clinician PLLC
• Therapy Place, Counseling and Consultation, Inc.
• Lenita Thibault, MD
• Julia Thie, L.AC
• Thomas Sturdavant MD PA
• Chadwick J Thomas, M.D.

• Ophthalmology Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.

Verify at the official NPI Registry.