Active NPI
The Eye Surgery Center of Oak Ridge LLC
- Clinic/Center
- Oak Ridge, TN
National Provider Identifier
1962588160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0000000078
- Legal business name
- THE EYE SURGERY CENTER OF OAK RIDGE LLC
- Practice address
- 90 Vermont Ave
Oak Ridge, TN 37830 - Phone
- (865) 482-8894
- Fax
- (865) 481-8349
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert E Walker, MD
- Title
- President Partner
- Phone
- (865) 482-8890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0000000078 | TN | Primary |
Addresses
Primary practice location
90 Vermont Ave
Oak Ridge, TN 37830
Mailing address
90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3287736 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111110000259 | TN | Part B Supplier - Ambulatory Surgical Center | 4284808171 | Practice locations: Oak Ridge, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- The Eye Surery Center of Oak Ridge LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Oak Ridge, TN
- NPI 1710966320
-
- Ophthalmology Physician
- Oak Ridge, TN
- NPI 1972635910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962588160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-482-8894",
"fax_number": "865-481-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-482-8894",
"fax_number": "865-481-8349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE SURGERY CENTER OF OAK RIDGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT PARTNER",
"authorized_official_telephone_number": "865-482-8890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TN",
"license": "0000000078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3287736",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
- Tennessee Urology Associates, PLLC
- Evgeniya Teterina Mohammed, MD
- Emily Thais
- Prashant Kumar Thakur, MD
- The Estates of Oak Ridge LLC (The Estates of Oak Ridge)
- The Homecare Company of Tennessee, LLC
- Therapy Centers of the Southwest I, P.a. (Concentra Medical Center)
- Eleni Papageorge Thomas, CCC-SLP, CBS
- Eric S. Thomas, PT
- Michael Roger Thompson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.