Active NPI
Mountain City Family Vision Inc.
- Optometrist
- Mountain City, TN
National Provider Identifier
1962789602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD371
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Optometrist
- Mountain City, TN
- NPI 1740303098
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.