Individual provider Active NPI

Eric Edward Speckner, M.D.

  • Ophthalmology Physician
  • Oak Ridge, TN
National Provider Identifier
1972635910
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
46574 Issued in TN
Practice address
90 Vermont Ave
Oak Ridge, TN 37830-6474
Phone
(865) 482-8890
Fax
(865) 482-7400
NPI assigned
Mar 12, 2007
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 46574 TN Primary

Addresses

Primary practice location

90 Vermont Ave
Oak Ridge, TN 37830-6474

Mailing address

90 Vermont Ave
Oak Ridge, TN 37830-6474
Phone (865) 482-8890

Other identifiers 1

IdentifierTypeStateIssuer
103I185347MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000783 TN Practitioner - OphthalmologyPractitioner - Other (Physician) 7719160852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Oak Ridge,PCGroup PAC ID 8527040690, 14 clinicians

Practice addresses (Care Compare)

90 Vermont Ave
Oak Ridge, TN 37830-6478
Phone (865) 482-8890

Merit-based Incentive Payment System (MIPS)

Final score
75.96 of 100Reported as group
Quality
62.76
Improvement activities
40
Cost
69.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Oak Ridge,PC Ophthalmology CurrentSince Mar 1, 2013 Accepting new patients
Center for Sight PC Past Accepting new patients
The Eye Surgery Center of Oak Ridge LLC PastSince Apr 1, 2017 Accepting new patients

Locations

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1972635910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-8890",
            "fax_number": "865-482-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-8890",
            "fax_number": "865-482-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKNER",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "46574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103I185347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.