Organization Active NPI

Eyexcel, PLLC

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1962683573
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEXCEL, PLLC
Practice address
715 Callahan Dr.
Knoxville, TN 37912
Phone
(865) 687-1232
Fax
(865) 687-8256
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mr. Ben A. Patton
Title
Administrator
Phone
(865) 687-1232

Specialties & licenses 1

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

Addresses

Primary practice location

715 Callahan Dr.
Knoxville, TN 37912

Mailing address

PO Box 12218
Knoxville, TN 37912
Phone (865) 687-1232

Other names 1

  • EyeXcel Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071221000163 TN Part B Supplier - Clinic/Group Practice 4688764012 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Tax ID family
Eyexcel 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

715 Callahan Dr
Knoxville, TN 37912
Phone (865) 243-8260

19088 Alberta St
Oneida, TN 37841
Phone (423) 569-8557

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1962683573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12218",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37912",
            "telephone_number": "865-687-1232",
            "fax_number": "865-687-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CALLAHAN DR.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37912",
            "telephone_number": "865-687-1232",
            "fax_number": "865-687-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEXCEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-687-1232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeXcel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2017; 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.