Active NPI
Andes Optical Inc.
- Non-Pharmacy Dispensing Site
- Knoxville, TN
National Provider Identifier
1841363165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- DPO0000000746
- Legal business name
- ANDES OPTICAL INC.
- Practice address
- 4613 Papermill Dr
Knoxville, TN 37909-2069 - Phone
- (865) 584-8551
- Fax
- (865) 584-8552
- NPI assigned
- Nov 16, 2006
- 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
- Mrs. Faith Andes McDaniel
- Title
- Owner
- Phone
- (865) 584-8551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | DPO0000000746 | TN | Primary |
Addresses
Primary practice location
4613 Papermill Dr
Knoxville, TN 37909-2069
Mailing address
4613 Papermill Dr
Knoxville, TN 37909-1971
Phone (865) 584-8551
National Provider Directory
National Provider DirectoryLocations
4317 Papermill Dr
Knoxville, TN 37909
Phone (865) 584-8551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360281600000",
"number": "1841363165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 PAPERMILL DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091971",
"telephone_number": "865-584-8551",
"fax_number": "865-584-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4613 PAPERMILL DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092069",
"telephone_number": "865-584-8551",
"fax_number": "865-584-8552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDES OPTICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2013-02-08",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "ANDES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-584-8551",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "TN",
"license": "DPO0000000746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.