Organization Active NPI

Winchester Eye Clinic, PLLC.

  • Optometrist
  • Winchester, TN
National Provider Identifier
1932606100
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000002752 Issued in TN
Legal business name
WINCHESTER EYE CLINIC, PLLC.
Practice address
183 Hospital Rd Ste H
Winchester, TN 37398-6207
Phone
(931) 967-2230
Fax
(931) 967-9622
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dr. Katy Leigh Woodall, ODNPI 1376736264
Title
Optometrist
Phone
(931) 967-2230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD0000002752 TN Primary

Addresses

Primary practice location

183 Hospital Rd Ste H
Winchester, TN 37398-6207

Mailing address

183 Hospital Rd Ste H
Winchester, TN 37398-6207
Phone (931) 967-2230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824002930 TN Part B Supplier - Clinic/Group Practice 4385993211 Receives reassigned benefits from 2 practitioners
Practice locations: Winchester, TN

National Provider Directory

National Provider Directory

Locations

183 Hospital Rd
Ste H
Winchester, TN 37398
Phone (615) 967-2230

Practitioners & affiliated clinicians

Practitioners 3

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": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1932606100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD STE H",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373986207",
            "telephone_number": "931-967-2230",
            "fax_number": "931-967-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD STE H",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373986207",
            "telephone_number": "931-967-2230",
            "fax_number": "931-967-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER EYE CLINIC, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "931-967-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.