Organization Active NPI

East Tennessee Eyecare Associates, PC

  • Ophthalmology Physician
  • Copperhill, TN
National Provider Identifier
1891135166
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000049024 Issued in TN
Legal business name
EAST TENNESSEE EYECARE ASSOCIATES, PC
Practice address
144 Medical Center Dr
Suite E
Copperhill, TN 37317-5005
Phone
(423) 496-6336
Fax
(423) 496-6307
NPI assigned
Jul 1, 2013
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Daniel M Eichenbaum, MDNPI 1992706196
Title
President
Phone
(828) 837-5404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD0000049024 TN Primary

Addresses

Primary practice location

144 Medical Center Dr
Suite E
Copperhill, TN 37317-5005

Mailing address

PO Box 39
Murphy, NC 28906-0039
Phone (828) 837-5404

National Provider Directory

National Provider Directory

Locations

144 Medical Center Dr
Ste E
Copperhill, TN 37317
Phone (423) 496-5511

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": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1891135166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060039",
            "telephone_number": "828-837-5404",
            "fax_number": "828-837-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MEDICAL CENTER DR",
            "address_2": "SUITE E",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373175005",
            "telephone_number": "423-496-6336",
            "fax_number": "423-496-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE EYECARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "EICHENBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-837-5404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000049024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperhill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.