Paul David Culpepper, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1366 Issued in TN

Practice address

2020 Northpark Dr
Suite 2a
Johnson City, TN 37604-3100

Phone

(423) 283-4499

Fax

(423) 283-0336

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952458911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORTHPARK DR",
            "address_2": "SUITE 2A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043100",
            "telephone_number": "423-283-4499",
            "fax_number": "423-283-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NORTHPARK DR",
            "address_2": "SUITE 2A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043100",
            "telephone_number": "423-283-4499",
            "fax_number": "423-283-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Crowe, P.T.
• Stephen Bruce Crowe, LCSW
• Ashley N Crumpler, LMSW
• Niles Adrian Cruz, M.A.
• Cu Sleepcenter II
• Shaynia Monk Cunningham, PHARMD
• Cura Partners, LLC
• Noel P Curcio, D.O.
• Stephanie Jean Curde, RRT, CPFT
• Susan R Curde, FNP

• Optometrist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.