East Tennessee Binocular Vision Center PLLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

TN0560 Issued in TN

Legal business name

EAST TENNESSEE BINOCULAR VISION CENTER PLLC

Practice address

9051 Executive Park Dr.,
Ste. 400
Knoxvville, TN 37923

Phone

(865) 437-3166

Fax

(865) 851-9328

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miles W Rhyne Jr., O. D.

Title

Sole MBR

Phone

(865) 437-3166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth Alexander Rhyne, OD

  • Optometrist
  • Knoxville, TN
  • NPI 1538901053

  Vision Therapy

  Medicare reassignment NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1962948737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 32367",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302367",
            "telephone_number": "865-437-3166",
            "fax_number": "865-851-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR.,",
            "address_2": "STE. 400",
            "city": "KNOXVVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-437-3166",
            "fax_number": "865-851-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE BINOCULAR VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "RHYNE",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "865-437-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "TN0560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.