Active NPI
The Regional Eye Center, P.C.
Doing business as The Regional Eye Center
- Ophthalmology Physician
- Kingsport, TN
National Provider Identifier
1811040751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- THE REGIONAL EYE CENTER, P.C.
- Doing business as
- The Regional Eye Center
- Practice address
- 4 Sheridan SQ
Suite 102
Kingsport, TN 37660-7435 - Phone
- (423) 246-8196
- Fax
- (423) 246-2308
- NPI assigned
- Jan 22, 2007
- Last updated
- May 29, 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
- John T Williams
- Title
- Ceo
- Phone
- (423) 246-7372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4 Sheridan SQ
Suite 102
Kingsport, TN 37660-7435
Mailing address
135 W Ravine Rd
Suite 2C
Kingsport, TN 37660-3847
Phone (423) 246-7372
Other names 1
- The Regional Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040726001153 | TN | Part B Supplier - Clinic/Group Practice | 4284604596 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kingsport, TN |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba The Regional Eye Center
- Ophthalmology Physician
- Kingsport, TN
- NPI 1932138849
O20040726001153
-
dba The Regional Eye Center
- Ophthalmology Physician
- Bristol, TN
- NPI 1902959844
O20040726001153
National Provider Directory
National Provider DirectoryLocations
4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196
NPI Registry JSON
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"
}
]
}
Other providers in Kingsport, TN
- The Beauty Studio Medical Aesthetics (The Beauty Studio)
- 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.
Sources for this page
- 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.