Active NPI
Alvin E Willingham, OD
- Optometrist
- Hixson, TN
National Provider Identifier
1932276292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD1107
- Practice address
- 5211 Highway 153
Hixson, TN 37343 - Phone
- (423) 870-3937
- Fax
- (423) 870-8705
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD1107 | TN | Primary |
Addresses
Primary practice location
5211 Highway 153
Hixson, TN 37343
Mailing address
5211 Highway 153
Hixson, TN 37343
Phone (423) 870-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD1107 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1932276292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5211 HIGHWAY 153",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-3937",
"fax_number": "423-870-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 HIGHWAY 153",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-3937",
"fax_number": "423-870-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLINGHAM",
"first_name": "ALVIN",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD1107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.