Elizabethton Vision and Contact Lens Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

O.D.371 Issued in TN

Legal business name

ELIZABETHTON VISION AND CONTACT LENS CENTER INC

Practice address

114 S Sycamore St
Elizabethton, TN 37643-3339

Phone

(423) 543-3421

Fax

(423) 543-7099

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ben Deal Parrish, O.D.

Title

President

Phone

(423) 543-3421

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1922471002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S SYCAMORE ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433339",
            "telephone_number": "423-543-3421",
            "fax_number": "423-543-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S SYCAMORE ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433339",
            "telephone_number": "423-543-3421",
            "fax_number": "423-543-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTON VISION AND CONTACT LENS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "DEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-543-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "O.D.371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024600",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lane Evan Edmonds
• Katrina D Edwards, FNP
• Elizabethton Chiropractic, LLC
• Elizabethton Medical Investors LP
• Elizabethton Surgery Center, LLC
• Glenn E Elliott
• Kianna Sue Elliott
• Patricia Ellis
• Nathan Emmert, O.D.
• Aaron Jordan English

• All providers in Elizabethton, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.