Organization Active NPI

Mountain City Family Vision Inc.

  • Optometrist
  • Mountain City, TN
National Provider Identifier
1962789602
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD371 Issued in TN
Legal business name
MOUNTAIN CITY FAMILY VISION INC.
Practice address
1162 S Shady St Unit B
Mountain City, TN 37683-2275
Phone
(423) 727-7733
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Ms. Caroline Johnson
Title
Practice Manager
Phone
(423) 727-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD371 TN Primary

Addresses

Primary practice location

1162 S Shady St Unit B
Mountain City, TN 37683-2275

Mailing address

1162 S Shady St Unit B
Mountain City, TN 37683-2275
Phone (423) 727-7733

National Provider Directory

National Provider Directory

Locations

1162 S Shady St
Unit B
Mountain City, TN 37683
Phone (423) 727-7733

1162 S Shady St
#B
Mountain City, TN 37683
Phone (423) 727-7733

Practitioners & affiliated clinicians

Practitioners 1

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1962789602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 S SHADY ST UNIT B",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376832275",
            "telephone_number": "423-727-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 S SHADY ST UNIT B",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376832275",
            "telephone_number": "423-727-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CITY FAMILY VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-727-7733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.