Organization Active NPI

The Regional Eye Center, P.C.

Doing business as The Regional Eye Center

  • Ophthalmology Physician
  • Bristol, TN
National Provider Identifier
1902959844
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE REGIONAL EYE CENTER, P.C.
Doing business as
The Regional Eye Center
Practice address
249 Midway Medical Park
Suite 102
Bristol, TN 37620-1693
Phone
(423) 764-0121
Fax
(423) 764-4800
NPI assigned
Jan 22, 2007
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

249 Midway Medical Park
Suite 102
Bristol, TN 37620-1693

Mailing address

135 W Ravine Rd
Suite 2C
Kingsport, TN 37660-3847
Phone (423) 246-7372

Other names 1

  • The Regional Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

249 Midway Medical Park
Ste 102
Bristol, TN 37620
Phone (423) 246-7372

135 W Ravine Rd
Ste 2-C
Kingsport, TN 37660
Phone (423) 246-7372

4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196

Practitioners & affiliated clinicians

Practitioners 8

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1902959844",
    "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": "249 MIDWAY MEDICAL PARK",
            "address_2": "SUITE 102",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201693",
            "telephone_number": "423-764-0121",
            "fax_number": "423-764-4800"
        }
    ],
    "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": "",
            "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 Bristol, TN

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.

Verify at the official NPI Registry.