Organization Active NPI

Matthew C Bohrman OD LLC

Doing business as Scenic City Eye Care

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1841621422
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3029 Issued in TN
Legal business name
MATTHEW C BOHRMAN OD LLC
Doing business as
Scenic City Eye Care
Practice address
309 N Market St Ste a
Chattanooga, TN 37405-3908
Phone
(865) 310-3087
NPI assigned
Dec 6, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Dr. Matthew Charles Bohrman, O.D.NPI 1154615318
Title
Optometrist
Phone
(865) 310-3087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3029 TN Primary

Addresses

Primary practice location

309 N Market St Ste a
Chattanooga, TN 37405-3908

Mailing address

3526 Lamar Ave
Chattanooga, TN 37415-4516
Phone (865) 310-3087

Other names 1

  • Scenic City Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314000941 TN Part B Supplier - Clinic/Group Practice 3375774375 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

309 N Market St
#A
Chattanooga, TN 37405
Phone (865) 310-3087

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": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1841621422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 LAMAR AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374154516",
            "telephone_number": "865-310-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MARKET ST STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053908",
            "telephone_number": "865-310-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW C BOHRMAN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "BOHRMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "865-310-3087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic City Eye Care",
            "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 Dec 6, 2013; 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.