Organization Active NPI

D C Eye, LLC

Doing business as DiStefano Optical

  • Eyewear Supplier
  • Chattanooga, TN
National Provider Identifier
1811339948
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
D C EYE, LLC
Doing business as
DiStefano Optical
Practice address
1815 Gunbarrel Rd
Chattanooga, TN 37421-3130
Phone
(423) 648-3937
Fax
(423) 648-2043
NPI assigned
Jul 17, 2013
Last updated
Aug 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Ms. Cynthia Lynn Heatherly, MBA
Title
Managing Member
Phone
(423) 280-0696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TN Primary

Addresses

Primary practice location

1815 Gunbarrel Rd
Chattanooga, TN 37421-3130

Mailing address

1815 Gunbarrel Rd
Chattanooga, TN 37421-3130
Phone (423) 648-3937

Other names 1

  • DiStefano Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1815 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1811339948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213130",
            "telephone_number": "423-648-3937",
            "fax_number": "423-648-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213130",
            "telephone_number": "423-648-3937",
            "fax_number": "423-648-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D C EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "HEATHERLY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "423-280-0696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiStefano Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.