Active NPI
The Regional Eye Center, P.C.
Doing business as The Regional Eye Center
- Ophthalmology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2008
- 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
- John T Williams
- Title
- Ceo
- Phone
- (423) 246-7372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba The Regional Eye Center
- Ophthalmology Physician
- Kingsport, TN
- NPI 1932138849
O20040726001153
-
dba The Regional Eye Center
- Ophthalmology Physician
- Kingsport, TN
- NPI 1811040751
O20040726001153
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Kingsport, TN
- NPI 1225080021
-
- Ophthalmology Physician
- Kingsport, TN
- NPI 1841781127
-
- Ophthalmology Physician
- Kingsport, TN
- NPI 1083646905
-
- Optometrist
- Kingsport, TN
- NPI 1720436892
-
- Ophthalmology Physician
- Kingsport, TN
- NPI 1861459380
-
- Optometrist
- Bristol, VA
- NPI 1649240656
-
- Ophthalmology Physician
- Johnson City, TN
- NPI 1558390385
-
- Ophthalmology Physician
- Fort Walton Beach, FL
- NPI 1336153055
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.