Organization Active NPI

Presson Eye Care, PLLC

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1962673889
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRESSON EYE CARE, PLLC
Practice address
7660 Oak Ridge Hwy
Knoxville, TN 37931-3335
Phone
(865) 247-7715
Fax
(865) 247-7716
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Alan Shane Presson, O.D.NPI 1346251584
Title
Optometrist
Phone
(865) 247-5419

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 Primary

Addresses

Primary practice location

7660 Oak Ridge Hwy
Knoxville, TN 37931-3335

Mailing address

7660 Oak Ridge Hwy
Knoxville, TN 37931-3335
Phone (865) 247-7715

Other identifiers 1

IdentifierTypeStateIssuer
1504810MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000642 TN Part B Supplier - Clinic/Group Practice 9638248354 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Knoxville, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Presson Eye Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7686 Oak Ridge Hwy
Knoxville, TN 37931
Phone (865) 247-7715

7660 Oak Ridge Hwy
Knoxville, TN 37931
Phone (865) 247-7715

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1962673889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313335",
            "telephone_number": "865-247-7715",
            "fax_number": "865-247-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313335",
            "telephone_number": "865-247-7715",
            "fax_number": "865-247-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESSON EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "PRESSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "865-247-5419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504810",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.