Individual provider Active NPI

Charles G Ange, M.D.

  • Ophthalmology Physician
  • Knoxville, TN
National Provider Identifier
1952370843
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
08106 Issued in TN
Practice address
1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508
Phone
(865) 244-2030
Fax
(865) 684-1196
NPI assigned
Mar 14, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 08106 TN Primary

Addresses

Primary practice location

1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508

Mailing address

1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508
Phone (865) 244-2030

Other identifiers 9

IdentifierTypeStateIssuer
TN0101OtherJOHN DEERE
0647640OtherUMWA
4200511OtherCIGNA
2005713OtherBLUE CROSS BLUE SHIELD
3153453MedicaidTN
100021168OtherPHP
4523695OtherAETNA
180009848OtherRAILROAD MEDICARE
0840238OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000709 TN Practitioner - Ophthalmology 0345335493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08106TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Specialists, PC Ophthalmology CurrentSince Jun 26, 1994 Accepting new patients
University Eye Surgeons, P.C. CurrentSince Jun 26, 1994 Accepting new patients
University Eye Specialists, P.C. Ophthalmology Past Accepting new patients

Locations

1928 Alcoa Hwy
Ste 324
Knoxville, TN 37920
Phone (865) 524-9871

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920
Phone (865) 244-2030

1932 Alcoa Hwy
Ste C255
Knoxville, TN 37920
Phone (865) 244-2020

622 Smithview Dr
Maryville, TN 37803
Phone (865) 244-2020

Interoperability endpoints

  • Direct secure messaging: cange@universityeye.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1952370843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2030",
            "fax_number": "865-684-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2030",
            "fax_number": "865-684-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGE",
        "first_name": "CHARLES",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "08106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0647640",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4200511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2005713",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153453",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100021168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4523695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0840238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.